Medicaid demonstration underway; ACHs forming project committees that need provider input

Over the next five years, the state Health Care Authority will be distributing up to $1.1 billion through the Heathier Washington demonstration. By the end of this year, the Authority has initially indicated it will distribute up to $240 million statewide to jump start this work. Most of the dollars will flow to providers that participate in approved projects through their ACH. The ACHs are forming committees and groups now that will make key decisions on the local projects that will drive this funding.... Read More >>

Healthier WA Draft Project Toolkit Released – $1.1 billion in Medicaid Transformation Funds Available

The purpose of this bulletin is to share with hospitals and health systems the pre-draft toolkit for the Medicaid waiver transformation projects. Once final, the toolkit will guide the work of global waiver in the nine Accountable Communities of Health (ACH) regions over the next five years. Up to $1.1 billion in funding will be available for providers interested in participating in the identified projects, with funding released when project milestones are achieved.... Read More >>

Nondiscrimination Policy Updates; HHS Final Rule, “Nondiscrimination in Health Programs and Activities” Implementing Section 1557 of the ACA

  To: Chief Executive Officers, Hospital and Health System Counsel, and Chief Nursing Officers From: Zosia Stanley, JD, MHA, Policy Director and Gavin Keene, Legal Extern Staff contact: Zosia Stanley,... Read More >>

Budget Neutrality Adjustment Factors: Adjustments to Medicaid Rates

This bulletin provides hospitals with information about recent rate notification changes effective June 1stfrom the Washington State Health Care Authority (HCA). It also provides information about additional rate changes that may be implemented over the next six months.... Read More >>

City of Seattle Shift Survey Participation – Due June 30, 2016

The City of Seattle is considering new restrictions on shift schedules for those working in the city limits. As part of this effort, the city’s Office of Labor standards is conducting a shift scheduling survey for both employers and employees in the greater Seattle area. The survey is intended for all shift workers, and has the potential for significant impact on health care shift workers.... Read More >>

Opportunity to recruit and retain providers to your community

The purpose of this bulletin is to remind rural organizations with clinics to apply to become a National Health Shortage Community (NHSC) approved site. It does take time to gather the application materials for the submission deadline of June 7, 2016.... Read More >>

Universal Adoption of Standard Financial Assistance Application and Standard Communication Plan

This bulletin’s purpose is to share the WSHA-developed standard financial assistance/charity care application and standard communication plan for communicating about financial assistance/charity care and recommend that all hospitals adopt both documents. ... Read More >>

Overall Hospital Quality Star Ratings from CMS

The purpose of this bulletin is to ensure hospitals are aware that the Centers for Medicare and Medicaid Services (CMS) will be adding an overall hospital “star rating” to Hospital Compare. The new rating will be part of the April update to the site.... Read More >>

BNAF; Good News on Medicaid Rate Adjustments

We are interested in informing hospitals about the Washington State Health Care Authority’s adjustments to February 1 payment rates. Working with WSHA, the Health Care Authority (HCA) has agreed to increase inpatient rates for the next quarter by about 18 percent, in order to restore errors it made in cutting rates during the last two quarters.... Read More >>

HCA Implements Potentially Preventable Readmission (PPR) Adjustments

The purpose of this bulletin is to inform Prospective Payment System (PPS) hospitals of changes to their Medicaid inpatient hospital payment rates effective January 1, 2016 due to changes to the Health Care Authority’s policy on paying for readmissions. HCA is replacing its existing policy of reviewing and denying individual readmission claims with a policy that uses a software program to compare each hospital’s rate of potentially preventable readmissions (PPR) rate with an expected rate based on the state’s general experience and the hospital’s mix of cases. Hospitals with higher than expected potentially preventable readmissions are subject to a penalty reduction applied to their inpatient payment rate.... Read More >>

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