CHA News provides timely information to members every Tuesday and Friday at 3 p.m.This section contains a chronological listing of CHA News articles. For information by topic, please visit the Hospital Topics section.
CHA News provides timely information to members every
Tuesday and Friday at 3 p.m.This section contains
a chronological listing of CHA News articles. For
information by topic, please visit the Hospital Topics section.
informational series from the California Health Care
Foundation explains various facets of the Medi-Cal program,
including a program overview, challenges of program
eligibility and enrollment, the process and challenges of
payments to Medi-Cal managed care plans, the 2019 edition of
Medi-Cal facts and figures, the intersection of Medi-Cal and
behavioral health, and the Medi-Cal budget process.
Earlier this month, CHA sent an Advocacy Alert to hospital leaders explaining a new policy that reduces the disparity in access to livers for transplantation in California and asking hospitals to urge their members of Congress to sign a bipartisan letter supporting the policy. The deadline for signatures has been extended to 2 p.m. (PT) on Feb. 28.
new report from the Public Policy Institute of California
(PPIC) examines emergency department (ED) use across the state
from 2005-16, focusing on ED use after 2014 — when the Affordable
Care Act (ACA) insurance expansions were fully implemented.
While PPIC notes encouraging findings related to the ACA’s
impact, it also identifies a need to more closely examine the
role of EDs in an evolving health care system, especially since
ED use has grown since 2005.
Key findings include:
ACA expansions resulted in a large reduction of the number of
uninsured Californians, and did not increase ED use among adults
under the age of 65.
Among non-elderly adults, women ages 19-34 have the highest
rates of ED use, due in part to pregnancy-related visits.
Approximately 90 percent of ED visits are outpatient visits.
Since 2005, ED outpatient use has increased substantially
across all demographic groups and for all reasons.
The Department of Veterans Affairs (VA) has issued a
proposed rule implementing provisions of the Veterans
Community Care Program — authorized by the MISSION Act — which
allows covered veterans to receive necessary hospital, medical
and extended care services from non-VA providers.
Under the MISSION Act, veterans enrolled in the VA health system
can seek care from non-VA providers if they meet one of the
following six conditions:
VA does not offer the required care or services.
VA does not operate a full-service medical facility in the
state where the veteran resides.
The veteran was eligible to receive care under the Veterans
Choice Program and is eligible to receive care under certain
The veteran and the referring clinician determine it is in
the veteran’s best medical interest to receive care or services
from an eligible entity or provider based on consideration of
The veteran is seeking care or services from a VA medical
service line that VA has determined is not providing care that
complies with VA’s standards of quality.
The proposed rule also defines which non-VA entities and
providers are eligible to participate in the program and
clarifies payment rates and methodologies for those community
providers. VA previously issued a separate
proposed rule implementing urgent care provisions for
the new program. Comments on the proposed rule are due March 25.
The Drug Enforcement Administration has moved Epidiolex
from Schedule I to Schedule V. According to
All Facilities Letter 19-06, issued last week by the
California Department of Public Health, cannabis-derived drugs
that are approved by the Food and Drug Administration and that
have no more than 0.1 percent residual tetrahydrocannabinols will
be moved to Schedule V. Currently, only Epidiolex meets
those requirements. Drugs that do not meet these criteria may not
be prescribed or dispensed.
CHA has submitted a
letter to the Centers for Medicare & Medicaid Services (CMS),
responding to its request for information on the
relationship between Medicare-approved accrediting organizations
(AOs), their consultative entities and the health care facilities
CHA has released the 10th edition of the Hospital Compliance Manual, written
specifically to help California’s hospital compliance officers,
chief financial officers, legal counsel, and risk managers stay
abreast of pertinent state and federal laws. The manual focuses
on high-risk compliance issues and addresses the key components
of an effective compliance plan.
The Department of Health Care Services (DHCS) has released an
update on the Health Homes Program, including current and future
implementation counties, and counties where the program will not
The Department of Health Care Services (DHCS) recently requested
input on how the Cal MediConnect program can provide a better
member experience or otherwise improve care and care
coordination. Today, CHA submitted
comments that outline the challenges hospital case managers
continue to experience in the discharge planning process.
CHA has submitted
comments to the Department of Health and Human Services
Office for Civil Rights (OCR) in response to a
request for information about modifying Health Insurance
Portability and Accountability Act (HIPAA) privacy and security
Twenty-four counties have now been approved to deliver services
through the Drug Medi-Cal Organized Delivery System Waiver,
according to a recent update from the Department of Health Care
Services (DHCS), with 16 additional counties in various phases of
Calvin “Cal” Knight, president & CEO of John Muir Health in the
eastern region of the San Francisco Bay Area, will serve as the
chair of the California Hospital Association’s Board of Trustees
in 2019. In his role as chair, Knight will work with the
association’s leadership to advance policies and legislation
that help ensure all Californians have access to high-quality,
affordable medical care.
Earlier this week, Elaine Batchlor, MD, MPH — CEO of Martin
Luther King, Jr. Community Hospital in Los Angeles and a member
of the California Association of Hospitals and Health Systems
Board of Trustees — was
named as a recipient of the James Irvine Foundation
Leadership Award. The award recognizes her commitment to serving
the South Los Angeles area, a long-underserved community with a
severe shortage of health care providers.
Later this year, the Department of Health Care Services (DHCS)
will modify access to the Hospital Presumptive Eligibility (HPE)
Application Portal. Providers who have not yet updated their HPE
user information should do so to ensure they do not lose access
to the portal.
new report identifies the clinical capacity of and training
needs for the state’s nursing workforce, particularly RN
surpluses and shortages by region. The report is the culmination
of a landmark initiative to identify innovative solutions for the
most challenging nursing education issues facing California.
Earlier this week, a California appellate court issued a
published decision interpreting California’s reporting time pay
requirement. While the decision in Ward v. Tilly’s Inc.
was not unanimous and could be appealed to the California Supreme
Court, employers should take note of the case’s reasoning.