CHA News Article

DHCS to Host Webinar on Global Payment Program Tomorrow

The Department of Health Care Services (DHCS) will host a webinar on the Global Payment Program (GPP) tomorrow at 3 p.m. (PT); registration is available online. The GPP is a new program under California’s section 1115(a) demonstration waiver – “California’s Medi-Cal 2020 Demonstration,” which is effective Dec. 30, 2015, through Dec. 31, 2020.

The new program aims to improve the way care is delivered to California’s remaining uninsured individuals by establishing a statewide funding pool that combines federal disproportionate share hospital (DSH) and uncompensated care funding and distributing it to select designated public hospitals that meet their goal of moving patients from high-cost, avoidable services to higher value, preventive services. Webinar slides will be posted on the GPP web page prior to the start of the webinar.

Under the GPP, designated public hospitals are incentivized to provide ambulatory primary and preventive care to the remaining uninsured through a value-based payment structure that rewards the provision of care in more appropriate settings. This will help to focus on the value, not volume, of care provided to the uninsured — such as the provision of primary and preventive care — and will shift away from avoidable emergency room and hospital utilization. Federal funding for GPP will be a combination of the DSH funding for participating designated public hospitals and $236 million for the first year from the prior safety-net care pool. The non-DSH funding for years two through five will be determined following an independent assessment of uncompensated care due to be completed in the spring of 2016. The waiver renewal includes the potential for additional federal funding of the GPP after the initial year of the waiver.

For more information about the waiver, visit DHCS’ Medi-Cal 2020 and GPP web pages. Comments and questions may be sent to