CHA News
The core of CHA member benefits: the latest information for members

CHA provides timely information to its members on a daily basis through CHA News, issued at 3 p.m. every day, Monday through FridayThis section contains a chronological listing of CHA News articles. For information by topic, please visit the Hospital Topics section.

CHA News Article

CHA Urges Hospital Leaders, Employees to Vote Yes on Propositions 52, 55 and 56

One of the largest and most diverse coalitions ever seen in California politics has come together to support CHA-sponsored Proposition 52, the Medi-Cal Funding and Accountability Act. More than 1,000 organizations and individuals have endorsed Proposition 52 —  including many non-traditional allies such as the California Labor Federation, the California Chamber of Commerce, the California Democratic and Republican Parties, the California Teachers Association, the Teamsters, Meals on Wheels and the California Business Roundtable.

“This broad level of support for Proposition 52, voiced from all sectors of our society, demonstrates the importance of strengthening access to health care for the millions of Californians who rely on Medi-Cal for their health care needs,” said CHA President/CEO C. Duane Dauner. “Voting yes on Proposition 52 should be one of the easiest decisions facing all Californians this fall.”

Proposition 52, which will appear on the Nov. 8 ballot, extends a partnership between the state and hospitals that brings more than $3 billion a year in federal matching funds to California to help pay for Medi-Cal services. Since the partnership began in 2009, the state has received more than $18 billion in federal dollars for the Medi-Cal program. The current law protecting this funding expires in 2017. Passage of Proposition 52 removes that sunset date, eliminating political uncertainty by making the partnership ongoing. The measure also prohibits lawmakers from diverting these Medi-Cal dollars to pay for anything other than their intended purpose.

CHA News Article

Reopening of Advanced APM Applications Announced
CMS aims to increase advanced APM participation under MACRA

CHA attended the Heath Care Payment Learning and Action Network Summit today, where U.S. Department of Health and Human Services Secretary Sylvia Burwell made several announcements about the progress of adopting value-based payments and alternative payment models (APMs). During the summit, it was announced that the Centers for Medicare & Medicaid Services (CMS) will reopen applications for several advanced APMs, as discussed in the final rule implementing the physician quality payment program (QPP) created by the Medicare Access and CHIP Reauthorization Act of 2015. CMS will reopen applications for the Next Generation Accountable Care Organization model and the Comprehensive Primary Care Plus model; new participants may be eligible for advanced APM incentives for the 2018 QPP performance year. In addition, CMS announced that the Oncology Care Model with two-sided risk will now be available in 2017, rather than 2018, and will qualify as an advanced APM beginning with the 2017 QPP performance year. For more information, visit

CHA News Article

CMS Issues Revised Home Health Change of Care Notice

The Centers for Medicare & Medicaid Services (CMS) has issued the attached revised Home Health Care Change of Care Notice, which is used by home health agencies (HHAs) to notify original Medicare beneficiaries receiving home health care benefits of plan of care changes. HHAs are required to provide written notification to beneficiaries prior to reducing or terminating services. The effective date for use of the revised form is 90 days from the date of the announcement, Oct. 19. Additional information is available on the CMS website.

CHA News Article

CDPH Centralizes Process for Licensing Applications

The California Department of Public Health (CDPH) last week released the attached All Facilities Letter addressing changes to its licensing applications process. As previously announced, CDPH had begun centralizing its application process and report of change request to the centralized applications unit (CAU) in Sacramento. As of Oct. 20, CAU has assumed the application and report of change request workload for Los Angeles, Chico, Fresno, Santa Rosa, East Bay, San Francisco, San Jose, Riverside, San Bernardino and Bakersfield. CDPH plans to complete the centralization process by Feb. 1.

CHA News Article

Office of the Patient Advocate Releases Health Care Quality Report Cards

The California Office of the Patient Advocate (OPA) has released its 16th annual health care quality report cards, intended to assist consumers in choosing a new health plan during 2017 open enrollment. The report cards detail how California’s 10 largest HMOs, five largest PPOs and over 200 commercial medical groups rate on meeting national standards of care, specific health conditions and patient experience. The commercial medical group report card also includes ratings on total cost of care. Users are able to search for health plans and medical groups by county and their scores can be compared side by side. The report cards also offer an overview of different health conditions that may be of particular interest to consumers, such as diabetes, heart care, asthma, cancer, maternity care and mental health.


News Releases and Media Statements
From the California Hospital Association

For past news releases and media statements, please visit the archive.

Media Statement

California’s Hospitals Applaud Bipartisan Legislative Action in Support of MCO Tax Package
Health Plan Financing Package Provides Needed Funding for Hospital-Based Skilled Nursing Units

The California Hospital Association (CHA) applauds today’s bipartisan passage in both the Assembly and Senate of the revamped Managed Care Organization (MCO) financing package. The reformed funding program will stabilize the state’s General Fund costs for Medi-Cal and provide much needed funding for hospital-based skilled nursing facilities as well as programs that support the developmentally disabled.

News Release

Southern California Hospital Leader Elected 2016 Board Chair of California Hospital Association
Redlands Community Hospital CEO James Holmes Will Guide CHA in Coming Year

SACRAMENTO (January 21, 2016 ) – James R. Holmes, President/CEO of Redlands Community Hospital, has been elected 2016 chair of the California Hospital Association (CHA) Board of Trustees. 

Media Statement

Filing of Harmful Ballot Measure by SEIU-UHW is an Abuse of California’s Initiative Process
New Ballot Measure Attacking Executive Compensation Violates May 2014 Agreement

Today’s  decision by SEIU-UHW (UHW) to file a harmful ballot measure that will negatively impact the operations of hospitals throughout California is an abuse of the state’s initiative process and violates a May 5, 2014 agreement negotiated between the California Hospital Association (CHA) and UHW. Artificially imposing a cap on compensation will result in a loss of qualified executives and undermine the ability of hospitals to meet the challenges ahead.

News Headlines

Today’s News Headlines

News Headlines Article

Obama administration expects uptick in ACA enrollment, despite sharp premium increases
Sacramento Business Journal

The Obama administration expects an uptick in enrollment in the Affordable Care Act during the next few months, despite sharp premium increases in many states.

The White House predicts 13.8 million people will enroll in a health plan on the Affordable Care Act’s exchanges by Jan. 31, the end of the open enrollment for 2017 coverage. That marks a 9 percent increase beyond the 12.7 million plan selections by the end of open enrollment in 2016.

News Headlines Article

Obama calls for public option, more subsidies to improve ACA
Modern Healthcare

President Barack Obama on Thursday offered suggestions for improving his signature healthcare reform law while saying it has had many successes and is slowed mostly by political gamesmanship.

The speech at Miami Dade College in Miami was rescheduled because of Hurricane Matthew. Obama was in the battleground state campaigning for Democratic presidential candidate Hillary Clinton.

With just a few weeks before the election and the final open-enrollment period of his administration, Obama acknowledged some problems with the Affordable Care Act, but said it has slowed the overall growth of healthcare costs, pushed the country’s uninsured rate to record lows and “has done what it was designed to do.”

News Headlines Article

Where Clinton Will Take ObamaCare
The Wall Street Journal

In claiming earlier this year that the current U.S. health-care system “was HillaryCare before it was called ObamaCare,” Hillary Clinton was telling the truth—but not the whole truth. In 1993, while first lady, Mrs. Clinton led a task force to deliver universal health care to the voters who elected her husband. She failed. After many revisions, the final bill stalled in the Senate for lack of Democratic votes.

HillaryCare was a comprehensive plan for the government to take over the health-care system, with program details and cost-control measures precisely defined.

News Headlines Article

Lawmakers demand answers on leukemia drug price hikes
Modern Healthcare

Two top lawmakers on Thursday demanded information from a drug company that has raised prices on a leukemia drug, calling increases of tens of thousands of dollars a sign the company puts profits before patients.Sen. Bernie Sanders, I-Vt., and Rep. Elijah Cummings, D-Md., the top Democrat on the House Oversight and Government Reform Committee, wrote ARIAD Pharmaceuticals and asked about price hikes for Iclusig, which is used to treat chronic myeloid leukemia in some people.

News Headlines Article

Lawmakers Question Price Hikes For Leukemia Drug
National Public Radio

Another pharmaceutical company is coming under fire for boosting the price of one of its drugs. Two lawmakers are demanding to know the justification for a more than $80,000 price hike for a year’s supply of a drug that treats leukemia patients.

As NPR’s Alison Kodjak reports:

“The drug is called Iclusig and it was approved in 2012 to treat a subset of patients with chronic myeloid leukemia.

“Sen. Bernie Sanders, I-Vt., and Rep. Elijah Cummings, D-Md., sent a letter to Ariad Pharmaceuticals asking it to explain the medication’s $200,000 price tag.

News Headlines Article

Long-Term, Reversible Contraception Gains Traction With Young Women
Kaiser Health News

Nurse practitioner Kim Hamm talked in soothing tones to her 14-year-old patient as she inserted a form of long-acting contraception beneath the skin of the girl’s upper arm.

“This is the numbing medicine, so you’re going to feel me touch you here,” she said, taking the teen’s arm. “Little stick, one, two three, ouch. And then a little bit of burn.”

Hamm works at the Gaston County Teen Wellness Center, in Gastonia, N.C., which provides counseling, education and medical care.  The teenager had already talked through her birth control options with another health care provider and chosen the implant — a flexible rod, about the size of a matchstick, that slowly releases low levels of hormones to prevent pregnancy.

News Headlines Article

To Curb Unintended Pregnancy, States Turn To IUDs — In The Delivery Room
Kaiser Health News

Peggy Wall, a family nurse practitioner at a local community health center, treats many women in their 40s, who already have a family and find themselves confronting an accidental pregnancy.

Many, she says, wish they had taken preventive steps after their last child was born and could be good candidates for getting an intrauterine device in the delivery room, immediately after giving birth. Until recently, that sort of IUD access has been difficult to come by.

News Headlines Article

STD Infections Rise To New Highs After States Close Health Clinics
National Public Radio

The number of people infected with three major sexually transmitted diseases is at an all-time high, according to a CDC report released Wednesday. And the increase in reported cases of chlamydia, gonorrhea and syphilis is hitting teenagers and young adults hardest.

Over half of gonorrhea and chlamydia cases are in people under the age of 25, says Dr. Jonathan Mermin, director of the National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention for the CDC.

News Headlines Article

Could Diet Change Help Treat Blood Cancer or Transplant Patients?
Scientific American

A team of researchers from California and Japan has found that an essential amino acid plays a crucial role in the creation of blood stem cells—a discovery the scientists say could offer a potential alternative to chemotherapy and radiation in treating blood cancer patients.

The amino acid valine, which people obtain by eating protein, appears key to the formation of blood stem cells. Mice deprived of the protein building block for two to four weeks stopped making new blood cells altogether, according to the new study, published Thursday in Science.

News Headlines Article

Adults Not Getting Vaccinated Cost The U.S. $7.1B In 2015

Here’s a situation where you may want to behave more like a child. Adult immunization rates are far lower than kids’ immunization rates, and a study just published in the journal Health Affairs estimates that in 2015 common vaccine-preventable diseases in adults cost the U.S. $9 billion, with 80% of these costs (or $7.1 billion) from those who did not get vaccinated.

For the study, a team of researchers–Sachi Ozawa, PhD (who is at the University of North Carolina); Allison Portnoy, MSPH (Harvard T.H. Chan School of Public Health); Hiwote Getaneh (MDRC); Keri Yang; Pallavi D. Patwardhan (Merck and Company); Samantha Clark, MHS; Maria Knoll, PhD; and David Bishai MD, MPH, PhD (Johns Hopkins Bloomberg School of Public Health)–developed an economic model using various national databases to estimate the medical costs and productivity losses associated with hepatitis A and B, herpes zoster, influenza, measles, mumps, rubella, tetanus, diphtheria, pertussis, varicella, meningococcal disease, pneumococcal disease and human papilloma virus (HPV) infection. The Jeopardy question for this group of diseases would be: What are 14 things that you would not like to get? Or what are 14 diseases in adults that can prevented by vaccines?

News Headlines Article

Drug companies funnel $108 million to defeat California drug price ballot question
Modern Healthcare

Political donors have spent a record $450 million to support and oppose 17 November ballot initiatives in California, beating the state’s own record for the most spent on propositions appearing on statewide ballots in a single year, campaign reports filed Thursday show.The fundraising has soared at least $12 million past California’s previous record, when $438 million was spent on the campaigns for and against 21 measures on the ballot in 2008. With inflation, fundraising in 2008 would be worth at least $490 million today.No other state has come close to those amounts.

News Headlines Article

We used to sell cigarettes in hospitals. 5 practices that may soon look just as outdated

Just a few decades ago, hospital candy stripers sold cigarettes to patients in bed. Today, culture has changed so much that at many of the same hospitals, you can’t smoke anywhere on the entire campus.

“It’s absolutely absurd to think there was a time when we actually smoked at the nurses station, sold cigarettes to patients, or bummed a smoke off of patients,” said Dana Siegal, a former nurse who is now director of patient safety for CRICO Strategies, which analyzes medical errors and malpractice risk.

What other practices will we look back on in 30 years and say, “Can you believe we used to … ?”

News Headlines Article

Long Beach Memorial and CareMore Health Plan team up
Orange County Register

Long Beach-area Medicare recipients have a new option to improve their health and better manage their medical care under an agreement between Long Beach Memorial, the West’s second largest hospital campus, and CareMore Health Plan.

CareMore Health Plan, based in California, recently received a 4.5 Star Quality Rating from the Centers for Medicare & Medicaid Services (CMS), and acknowledgment as one of the top two Medicare Advantage companies in California by U.S. News and World Report. The 4.5 quality rating is an increase from the prior year’s 4-star rating.

News Headlines Article

Cedars-Sinai preserves high margin with ‘favorable’ hospital admissions
Modern Healthcare

The operating margin at Cedars-Sinai Medical Center—the prominent, high-priced academic medical center in Los Angeles—stayed well above industry norms last year mostly because of higher admissions.The system described the higher inpatient activity as “favorable,” according to financial documents recently filed with bondholders.It’s an unusual term to describe hospitalizations today considering health systems are trying to reduce the number of times people have to stay overnight.


CHA News Article

CHA Releases 2014 Follow-Up Report on Allied Health Workforce

CHA is pleased to release the attached report, Critical Roles: California’s Allied Health Workforce (March 2014), a follow-up to an original 2011 publication. The report includes statewide information on select allied health occupation vacancy rates and age distribution, as well as other important information. The report is based on a 2013 statewide hospital survey that was designed to gather up-to-date data on the demand for health professionals in the short term and to identify hospital workforce concerns in the coming years. In addition to highlighting the survey findings, the updated document also includes key messages for policy makers and other stakeholders relevant to health workforce development in California. For a printed copy of the report, please contact

Issue Paper

CHA Releases Allied Health Workforce Survey Results
Critical Roles: California's Allied Health Workforce

CHA is pleased to release Critical Roles: California’s Allied Health Workforce. This report highlights key findings from a recent CHA Allied Health Workforce Survey. The purpose of the survey was to gather up-to-date data regarding the effects of the economy on the demand for allied health professionals and to identify hospital workforce needs and concerns in the next one, three, and five years.

General information

AHA Report – ‘Workforce 2015: Strategy Trumps Shortage’

The American Hospital Association (AHA) recently released a report titled, “Workforce 2015: Strategy Trumps Shortage.” This report is the result of a year-long effort by the 2009 Long-Range Policy Committee to examine health workforce issues in the coming decade and to provide findings and recommendations for the field.

General information

Allied Health: The Hidden Health Care Workforce

Allied Health: The Hidden Health Care Workforce is the result of work completed by the CHA Healthcare Workforce Coalition. The coalition was established by CHA, and is sponsored in part by The California Endowment, in response to the need for a coordinated, statewide effort to develop and implement long-term strategies that will address allied health workforce shortages in the state. Members of this broad coalition include CHA member hospitals and health systems, as well as various stakeholders, including representatives from the University of California (UC), California State University, California Community Colleges, California Labor and Workforce Development Agency, UC San Francisco Center for the Health Professions, Connecting the Dots Initiative, Campaign for College Opportunity, Office of Statewide Health Planning and Development, and California Primary Care Association, among others.