Supreme Court Denies Hospitals’ Request for Review of Medicare Hospital Clinic Payment Cuts

On June 28, the U.S. Supreme Court declined to hear an appeal from the American Hospital Association (AHA) and hospitals challenging the U.S Department of health and Human Services’ (HHS’) site-neutral payment policy, allowing Medicare payment cuts to off-campus hospital-based clinics to continue. ... Read More >>

CARES Provider Relief Fund Reporting Begins: Webinars Available

The US Department of Health and Human Services (HHS) has begun the process for hospitals and providers to report their use of funding received from the CARES Act Provider Relief Fund (PRF). ... Read More >>

Reporting of Coronavirus Relief Funds from the State

We recently learned from the HCA that the Catalog of Federal Domestic Assistance (CFDA) number for the CRF funding is 21.019. This award number should be used on each hospital’s Schedule of Expenditures of Federal Awards (SEFA) as part of the organization’s single audit.... Read More >>

WSHA Provides Regulatory Tracker Update

WSHA’s Government Affairs team has published its update to its State Regulatory Issues webpage. ... Read More >>

OIC Releases Report on BBPA Arbitration

The Office of the Insurance Commissioner (OIC) released a report of arbitration proceedings and results for 2020 under the state’s Balance Billing Protection Act (BBPA). ... Read More >>

Bulletin: Upcoming Changes to Washington’s Paid Family and Medical Leave Program

The COVID-19 pandemic created a significant demand for medical and family leave by workers throughout Washington state. This created opportunities for the Washington State Legislature to enact legislation that modifies and expands access to the state’s Paid Family and Medical Leave (PFML) program. ... Read More >>

CMS Proposed Inpatient Rule Includes Temporary Adjustments to Reflect COVID Emergency Impacts

The Centers for Medicare and Medicaid Services released their proposed inpatient rule for 2022 on May 9 and will accept comments on the rule through June 28.  A summary of the rule and hospital-specific impact analyses were sent to the CFO or designated finance person for each member PPS Hospital in late May.... Read More >>

State Prepares for Federal No Surprises Act Implementation

The Washington State Office of the Insurance Commissioner (OIC) and the State Department of Health (DOH) have begun work with stakeholders to assess what is needed to implement the federal No Surprises Act (NSA) passed by Congress in December. ... Read More >>

Health Care Authority Provides More Details on State Budget Health Care Investments and Rate Increases

The Washington State Health Care Authority provided additional detail on health care investments and rate increases authorized by the legislature in the state’s 2021-2023 operating budget. The nature and timing of funding varies by initiative and certain details are yet to be determined, especially initiatives involving new federal funding. ... Read More >>

United Health Care Proposes Concerning Changes to Payment for Emergency Services and Hospital Clinics

United Health Care (UHC) recently announced two policy payment policy changes impacting hospitals. WSHA has grave concerns regarding these policies and is expressing our concerns to staff at the Office of the Insurance Commissioner (OIC).  We encourage hospitals and providers with concerns to also contact OIC.... Read More >>

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