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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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As California’s rural hospitals work to secure funding via the federal Rural Health Transformation Program (RHTP), a new tool is available to help them find partners to prepare their grant proposals.
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Earlier this week, CHA sent a pointed letter to the president of Anthem Blue Cross of California, calling out the insurance behemoth’s new multistate payment policy — an unjust and harmful practice that will penalize California hospitals for providing care to patients involving non-participating physicians or providers.
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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.
This post has been archived and contains information that may be out of date.
This post has been archived and contains information that may be out of date.
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.
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What’s happening: The Centers for Medicare & Medicaid Services’ (CMS’) calendar year (CY) 2025 Physician Fee Schedule (PFS) final rule provides increased flexibility for hospital outpatient therapy services, but this flexibility does not align with certain requirements in Title 22 of the California Code of Regulations.
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What’s happening: The Office of Health Care Affordability (OHCA) board met on March 25, where it pushed the office to create a process to revise “high-cost” hospital determinations if based on faulty data. The board also deliberated over the process for providers to obtain adjustments to their spending targets related to the growth in non-supervisory organized labor costs.
This post has been archived and contains information that may be out of date.
This post has been archived and contains information that may be out of date.
