Proposed CMS Outpatient Rule Includes Changes to Inpatient-Only List, 340B Hospital Payment

August 4, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2021 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) proposed rule. Major provisions of the... Read More >>

HCA Expands Medicaid Access in 2021 in Three Regions

To improve patient access to care, HCA is adding additional Medicaid managed care organizations (MCO) in three different service regions.  This is a result of the state’s finding that Medicaid... Read More >>

WSHA Comments on State Innovation Proposals

WSHA recently provided input regarding two state health care proposals: Cascade Care Subsidy Study. In its comments to the Washington Health Benefit Exchange (HBE), WSHA detailed the ways hospitals currently... Read More >>

WSHA Releases Regulatory Update

WSHA’s Government Affairs team has published its update to its State Regulatory Issues webpage. Members will find a comprehensive view of state rulemaking activities that affect them. This month, the team... Read More >>

WSHA Comments on Balance Billing Protection Act Stakeholder Draft Rules

August 6, WSHA submitted comments to the state’s  stakeholder draft rule related to the Balance Billing Protection Act (BBPA). This Act passed during the 2019 legislative session and was effective January 1,... Read More >>

Website Provides Answers to COVID-19 Payment and Coverage Questions Including Remdesivir

The Washington Healthcare Forum website continues to address provider COVID-19 billing and payment questions for commercial plans, Medicare, and Medicaid, including Medicaid managed care. At WSHA’s request, the Forum recently... Read More >>

Some WA hospitals receive additional CARES funding but finances still shaky

This month CMS released another two rounds of CARES funding for hospitals. At the same time, many WA hospitals continue to have a shaky financial forecast for the next year due to the ongoing impact of COVID-19. ... Read More >>

WSHA joins the AHA in ask to delay the new hospital price transparency rule

The American Hospital Association (AHA) sent a letter to the Department of Health and Human Services (HHS) and the Centers for Medicare and Medicaid Services (CMS) urging a delay in implementation of the hospital price transparency rule. ... Read More >>

HCA seeks comments on proposed multi-payer primary care transformation model

The Health Care Authority (HCA) is seeking comments on its proposed Multi-payer Primary Care Transformation Model. ... Read More >>

2020 WSHA Legislative Summary now available

WSHA’s summary of the 2020 legislative session is now available. As COVID-19 dominated the end of the session, WSHA successfully advocated for $19.5 million allocated to the Department of Social and Health Services (DSHS) to facilitate discharge of patients to long-term care settings and $2 million in emergency funds for rural hospitals. ... Read More >>

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