Exchange Open Enrollment Continues Through February 15, 2015

Exchange Open Enrollment Continues Through February 15, 2015 The Exchange is currently enrolling people for subsidized commercial insurance through February 15, 2015, through the Washington Healthplanfinder. Enrollment in Apple Health (Medicaid) is... Read More >>

Celebrate with Gratitude

Hospitals and health care workers sometimes experience the holidays a little differently than everyone else does. They don’t close their doors, of course, which means there are lots of people... Read More >>

Governor Inslee’s Budget: Steps Forward, Steps Backward, New Taxes

The Big Budget Picture Today, Governor Jay Inslee released his proposed budget for the 2015-2017 biennium. Despite increasing stability in the overall economy and modestly increased state revenues, the state’s... Read More >>

2014: The Financial Year in Review

2014 was a year of significant changes for hospitals and healthcare, impacting both health care coverage and payment issues. Here are a few of the significant events that occurred this year.... Read More >>

Psychiatric Boarding and the Aftermath of the Supreme Court Case

On December 26, 2014, the stay of the Supreme Court’s decision eliminated the use of single bed certifications to board psychiatric patients expired and the decision went into effect. The court’s decision was welcomed by hospitals, but the practical implementation has meant hospitals can be in a difficult position when caring for patients who meet detention criteria under the Involuntary Treatment Act.... Read More >>

SBC: New Emergency Rule Effective December 26 and Practical Guidance For Hospitals

The purpose of this bulletin is to: 1) Inform hospitals that the Washington State Supreme Court’s decision, In re the Detention of DW; 2) Inform hospitals about the Washington State Department of Social and Health Services’ (DSHS) new emergency rule for Single Bed Certification; 3) Provide information to help hospitals manage in circumstances where a designated mental health professional finds a patient meets detention criteria under the Involuntary Treatment Act, but declines to detain a patient due to no available appropriate inpatient psychiatric bed. ... Read More >>

Medicaid Outpatient PPS Pricing Issues

This bulletin provides important information on problems hospitals are experiencing with the Health Care Authority’s (HCA) programming of payments using Enhanced Ambulatory Payment Groups (EAPGs).The issues, stemming from pricing in HCA’s ProviderOne system, are causing significant numbers of outpatient hospital Medicaid claims to be underpaid or not paid at all. ... Read More >>

HCA to Implement Hospital Presumptive Eligibility in January

The purpose of this bulletin is to notify you that the Washington State Health Care Authority (HCA) is now implementing “Hospital Presumptive Eligibility” (HPE) for Apple Health Enrollment. The HCA will offer trainings in January 2015 for any hospital that registers for the training by December 19, 2014. HPE allows a hospital to enroll someone in Medicaid for up to 60 days with minimal information from the client. For example, if a client does not know their tax filing status, hospitals can enroll via HPE. Or if there is a glitch preventing enrollment using the Washington Healthplanfinder website, a hospital can enroll someone immediately via Hospital Presumptive Eligibility. ... Read More >>

Recognizing Leadership

Today I’m taking the opportunity to recognize a great leader who is leaving our state. For the last 19 years, Joan Baird-Glover has served on the Board of Commissioners for Kittitas County Public... Read More >>

A New Era for Care Of Mental Health Patients

Next Sunday is the solstice, the shortest, darkest day of the year. It is perhaps fitting that a few days after that, December 26, will mark when the Supreme Court’s... Read More >>

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