News

On December 4, the Washington Office of the Insurance Commissioner (OIC) sent interested stakeholders, including WSHA, draft legislation concerning balance billing for services by a provider who is not contracted with a patient’s health plan, when the services are provided at a contracted hospital. ... Read More >>

The Health Resources and Services Administration (HRSA) Division of Organ Donation and Transplant is encouraging hospitals to establish organ donor registration as a routine, especially among small and rural hospitals. HRSA is encouraging hospitals to participate in the giving spirit of the holiday season.... Read More >>

As a reminder, CMS requires all Critical Access Hospitals (CAHs) that are designated Necessary Providers (NPs) to provide documentation during their survey that proves the hospital received this designation from the state prior to 2006.... Read More >>

The state Health Care Authority (HCA) released a new Frequently Asked Questions document and announced monthly conference calls to answer questions and provide general updates on the Accountable Communities of Health (ACHs).... Read More >>

On November 20, WSHA provided hospitals with an analysis of the Calendar Year 2016 Medicare outpatient prospective payment system final rule. WSHA also provided facility-specific impact reports to hospital Chief Financial Officers. The new payment rates include a 2.1 percent market basket increase that is offset by an ACA-mandated reduction of 0.7 percent and an additional adjustment reduction of 2 percent due to lab services that should have been bundled being paid separately in error. ... Read More >>

Washington State Insurance Commissioner Mike Kreidler plans to submit proposed legislation in the upcoming 2016 session to limit balance billing of patients for out-of-network emergency services when a patient receives care at a facility contracted as in-network with their health plan.... Read More >>

The final rule for payment of early obstetrical deliveries adopted by the Washington State Health Care Authority (HCA) includes protections requested by WSHA for patients and providers. The rule is intended to deny Medicaid payment for early elective deliveries. The final rule allows payment for deliveries prior to 39 weeks if the early delivery is medically necessary.... Read More >>

On November 1, the Washington State Health Care Authority (HCA) reduced inpatient and outpatient hospital payments to prospective payment hospitals by 8 percent in order to apply budget neutrality adjustments due to the recent rebasing of the payment systems. In response to this significant change in Medicaid rates, WSHA requested HCA and its consultant, Navigant, review the calculations and provide WSHA with data sets to enable an independent analysis.... Read More >>

Recognizing the continuing need for involuntary inpatient mental health services, the state Legislature funded $32 million in the 2015-2017 budget for capital grants to assist with construction or renovation for inpatient and crisis mental health services.... Read More >>

WSHA hosted a webinar Nov. 23 on important information about development of a standard financial assistance application form and standard financial assistance communication plan for Washington State hospitals. Please contact Cliff Duggan if you are interested in receiving a copy of the recorded webinar. You can reach Cliff at CliffD@wsha.org or (206) 216-2517. WSHA recommends every hospital review this the application and communication plan. These documents are still in draft form, and WSHA welcomes feedback by Dec. 1.... Read More >>