The recently finalized Medicare Outpatient Prospective Payment System (OPPS) and ambulatory surgical center rule includes significant changes to how hospitals must make available machine-readable files of negotiated payments with carriers... Read More >>
The Washington Office of the Insurance Commissioner (OIC) recently finalized new rules and concise explanatory statement regarding registration and reporting by Health Care Benefit Managers (HCBMs), effective December 21, 2023.... Read More >>
The Washington State Health Cary Authority has made available its report to the legislature regarding the state Prescription Drug Affordability Board (PDAB) and is finalizing related rules. Legislation establishing the... Read More >>
The Washington Health Care Authority (HCA) released a Medicaid program integrity training document as annually required under RCW 74.09.195. The focus of the training is to promote and ensure Medicaid... Read More >>
WSHA contacted the Office of the Insurance Commissioner (OIC) regarding a change in benefits which could create unexpected out of pocket costs for patients. Regence and its affiliated health plans... Read More >>
On November 2, The Centers for Medicare & Medicaid Services (CMS) released its calendar year (CY) 2024 outpatient prospective payment system (OPPS) and ambulatory surgical center (ASC) final rule. The rule... Read More >>
The U.S. Department of Health and Human Services November 2 finalized its rule outlining the agency’s remedy for the unlawful payment cuts to certain hospitals that participate in the 340B... Read More >>
The U.S. Departments of Health and Human Services, Labor and the Treasury issued October 27, 2023 a comprehensive proposed rule that would modify the process for resolution of disputed out of... Read More >>
WSHA is pleased that the Department of Health’s Pharmacy Quality Assurance Commission (PQAC) is taking up rulemaking to protect patients from unsafe practices regarding provision of provider-administered drugs. WSHA plans... Read More >>
E2SHB 1272, heavily negotiated and passed during the 2021 legislative session, significantly expanded hospital financial reporting requirements. The Department of Health has provided a reporting guide for existing and new... Read More >>
