New Medicaid hospital payment rates and grouper weights effective July 1, 2022

New Medicaid inpatient and outpatient hospital payment rates will be in effect July 1, 2022, due to the Washington State Health Care Authority’s (HCA) rebasing of its prospective payment methodologies.... Read More >>

WSHA and WSMA representatives advise State’s Cost Transparency Board

Washington hospitals should be judged based on their own performance, not by the experiences in other states. Also, when comparing hospital performance across states, data should be adjusted for case... Read More >>

Heath Care Authority releases distressed hospital grant application

The state operating budget (ESSB 5693) passed during the last legislative session included $8 million in funding for hospitals in financial distress. The Washington State Health Care Authority (HCA)  is... Read More >>

Health Care Cost Transparency Board asks for increased hospital data

On May 18 the Health Care Cost Transparency Board (HCCTB) unanimously passed a motion authorizing the Board to seek additional data to inform its work, such as available data from... Read More >>

Washington hospital commercial payment among lowest in country, compared to Medicare payment

A recent analysis of hospital claims data by the RAND Corporation determined that commercial payment rates for Washington hospitals are among the lowest in the nation, when compared to Medicare... Read More >>

OIC posts slides for recent E2SHB 1688 webinars – Balance Billing Protection Act

The Washington State Office of the Insurance Commissioner (OIC) recently posted the slide decks for their recent webinars detailing changes to state law to align the state’s Balance Billing Protection... Read More >>

HCA requests survey information to shape implementation of WA Primary Care Transformation Model

The Washington Health Care Authority is seeking survey responses from primary care provider groups related to their capacity to adopt the Primary Care Transformation Model. Specifically, HCA needs to understand... Read More >>

WSHA adds recent bulletins to New Law implementation Guide

WSHA continues to update its New Law Implementation Guide, which provides links to bulletins, webinars, and other resources for implementation of legislation passed during the last few legislative sessions. Recently... Read More >>

New charity care requirements effective July 1

Substitute House Bill 1616 , which becomes effective July 1, 2022, substantially expands who may qualify for free or discounted care under the charity care law by raising the incomes under... Read More >>

HCA finalizes public option contracting enforcement rule

The Washington State Health Care Authority (HCA) recently finalized its rulemaking for enforcement of the requirement under Senate Bill 5377 that hospitals contract with at least one public option plan... Read More >>

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