The Centers for Medicare & Medicaid Services (CMS) recently issued a proposed rule that would provide states with greater flexibility in how they meet access to care requirements within the Medicaid program.
The proposed rule addresses concerns associated with the 2015 final rule — which CHA commented on — that requires states proposing to reduce or restructure Medicaid fee-for-service payment rates to collect data through an Access Monitoring Review Plan and solicit input on the potential impact on beneficiaries’ access to care.
CMS proposes to exempt states with an overall Medicaid managed care penetration rate of 85 percent or greater from most fee-for-service access monitoring requirements; California’s current Medi-Cal managed care penetration rate is 80 percent.
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Earlier this week, CHA’s Hospital Quality Institute issued a statewide alert calling attention to an increased prevalence of whooping cough (pertussis) in California.
What’s happening: Mark Ghaly, MD, MPH, has resigned as secretary of the California Health and Human Services Agency (CalHHS). His seat on the OHCA board will transition to the newly appointed secretary, Kim Johnson, or her designee. What else to know: Since April, the Office of Health Care Affordability (OHCA) has been convening a workgroup...
There’s still time to register for HQI’s free webinars that will be offered during Patient Safety Awareness Week, March 14-18.
This page contains important, members-only information related to the Centers for Medicare & Medicaid Services' hospital price transparency rule. To continue, please log in to your member account.
President Trump has issued an executive order instructing federal agencies to take a number of steps to promote price transparency and high-quality care, including a requirement that hospitals post standard charge information.
CHA has developed a seminar to help participating hospitals and their staff understand the clinical and financial risks associated with the Centers for Medicare & Medicaid Services’ (CMS) Comprehensive Care for Joint Replacement (CJR) program. Implementing CJR —Strategies for Success will be held on Oct. 25 from 8:30 a.m. – 4 p.m. in Los Angeles.
The nationwide mandatory episode payment model, which took effect April 1, impacts 135 California hospitals in three metropolitan service areas. The Implementing CJR—Strategies for Success seminar will provide participants with the knowledge needed to manage patient care, foster physician alignment and develop effective partnerships with post-acute care providers. The program features state and national faculty, each with an area of expertise in episode care payment models. Session topics include: CJR program overview; using data to identify opportunities and risks; creating or strengthening your post-acute care strategy; legal considerations including collaborator agreements, gainsharing and program waivers; and planning for CJR implementation in your facility.
COVID-19 and Medi-Cal: Guidance from Enrollment to Payment Webinar
Program originally recorded on July 1, 2020.
Recording
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Overview
Access to care has never been more essential — especially for COVID-19 patients. That’s why the Department of Health Care Services (DHCS) requested federal approval to provide greater flexibility to providers with Medi-Cal enrollment and payment for services during the COVID-19 crisis.
What’s happening: The California Department of Public Health’s All Facilities Letter 25-05, issued on Feb. 3, notifies general acute care and acute psychiatric hospitals of the enactment of Senate Bill (SB) 1300 (Chapter 894, Statutes of 2024). What else to know: Per SB 1300, a hospital that is closing an inpatient psychiatric unit or perinatal...
On Feb. 2 at 9 a.m. (PT), Chad Mulvany, CHA vice president, federal policy, and Tom Hubner, Toyon Associates, Inc. vice president, will hold a webinar to discuss the supplemental inpatient prospective payment system final rule and what it means for expanding resident training programs.
