The Washington Office of the Insurance Commissioner (OIC) is in the process of revising rules regarding the geographic rating areas used for premiums for the small group and individual health insurance markets. ... Read More >>

On April 1, the Health Care Authority (HCA) will be updating the APRDRG grouper used for pricing Medicaid inpatient hospital claims from the current version 31 to version 33. ... Read More >>

Late last week, Governor Jay Inslee released his proposed 2018 supplemental budget.... Read More >>

In mid-January, hospitals will have a short period to review the data that will be in the state’s all payer claims database regarding the allowed amounts for commercial claims for specific services. ... Read More >>

The Health Care Authority (HCA) and the Medicaid managed care plans will implement a new payment policy impacting Medicaid readmissions within 14 days after discharge. ... Read More >>

On December 12, the Washington Office of the Insurance Commissioner (OIC) ordered Coordinated Care Corporation to stop all new sales of individual health plans due to concerns regarding network adequacy.... Read More >>

Unless prevented by Congressional action or a successful lawsuit in the next few weeks, the payment cuts for Medicare 340B drugs in the final Medicare outpatient rule will go into effect January 1, 2018. ... Read More >>

Hospitals have until January 2 to correct the data on Worksheet S-10 of the Medicare cost report.... Read More >>

Kelly Wallace, Chief Financial Officer at Seattle Children’s Hospital, retired earlier this month.... Read More >>

WSHA has asked members of Washington State’s Congressional delegation to support a bipartisan bill, H. R.  4392, to stop the Centers for Medicare and Medicaid Services’ (CMS) rule to reduce payments for outpatient drugs provided by certain 340B eligible hospitals by nearly 30%.... Read More >>