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What’s happening: The Centers for Medicare & Medicaid Services (CMS) has provided additional updates to the Medicare Advantage Provider Complaint Submission form as it continues to refine the process,. What else to know: As previously reported, CMS has developed a process that allows providers to submit questions and complaints related to Medicare Advantage (MA) plan...
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What’s happening: CHA continues its work to hold insurance companies accountable for providing timely, comprehensive patient care. Last week, CHA submitted a letter to the Department of Managed Health Care urging it to expand network adequacy standards to reflect patients' current health care needs and hold plans accountable for making those life-changing, lifesaving services available. ...
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What’s happening: The California Department of Finance has hired Boston Consulting Group — under a contract worth up to $20 million — to identify cost savings and operational improvements across several state programs, including oversight of Medi-Cal managed care plans, Medi-Cal fraud detection, and hospital payment policies.
Mandated Training on the National Incident Management System and the Incident Command System for Hospitals and Health Care Systems
ICS Web Training Course (ICS-100, ICS-200 & IS-700)
The Hospital Preparedness Program requires hospitals that receive grant funding to train their leadership in the National Incident Management System and the Incident Command System. This training is required for hospital emergency program managers and for personnel who are likely to assume an incident command position as described in the hospital’s emergency management plan.
CDPH and CHA will once again gather virtually to discuss all things licensing – including program flexes due to potential surges, the status of re-licensing and recertification surveys, and CDPH’s plans to modify Title 22.
Participants can speak with their district office representatives in separate breakout sessions. Now is the time to gain licensing clarification and a better understanding of CDPH policies and protocols.
Go ahead and register! It’s that easy.
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Earlier this week, CHA took the next step in an important lawsuit against Anthem Blue Cross. The good news: A Los Angeles Superior Court previously sided with CHA on the merits of the case and recently denied Anthem’s efforts to close off appeal. The bad news: The court previously decided it would “abstain” from further involvement — that is, from providing a remedy. CHA has now filed paperwork to appeal that abstention and seek remedy.
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On Thursday, the House of Representatives passed by a vote of 230-197 a continuing resolution to extend funding for the federal government through Feb. 16. The measure includes a six-year reauthorization of the Children’s Health Insurance Program but does not include CHA’s other priorities, such as delays in cuts to the Medicaid Disproportionate Share Hospital and 340B Drug Pricing programs as well as several Medicare payment programs. Of the six Democrats who voted “Yes” with the Republicans, two were from California: Reps. Carbajal and Costa. None of the 11 Republicans who voted “No” with the Democrats were from California.
The Senate must pass the resolution by midnight (ET) tonight to avoid a government shutdown. It is not clear whether the 60 votes required to pass the measure are lined up. Congressional leaders are struggling to negotiate overall spending caps for the military and domestic discretionary programs, which is creating the month-to-month process.
In advance of the potential shutdown, the Department of Health and Human Services released its contingency plan for operations.
This post has been archived and contains information that may be out of date.
What’s happening: On. Dec. 16, the California Department of Managed Health Care (DMHC) announced that it fined Blue Cross of California (Anthem Blue Cross) $3.5 million for mishandling member grievances and not responding on time.
These resources are essential for enhancing hospital preparedness and response capabilities in the event of bomb threats and mass casualty incidents. They provide valuable guidance on assessing and improving security protocols, ensuring hospitals are ready to handle potential threats. Hospitals can also benefit from strategies for expanding their capacity to manage a sudden influx of patients during emergencies, ensuring continued efficiency and quality of care.
