Settlement Reached on Major Blue Cross/Blue Shield Antitrust Lawsuit- AHA Webinar November 20

Settlement Reached on Major Blue Cross/Blue Shield Antitrust Lawsuit- AHA Webinar  Held November 20 After more than a decade of litigation, the national Blue Cross Blue Shield Association (BCBSA) agreed... Read More >>

WSHA Provides Medicare Facts Brochure to Help Patients with Medicare Plan Choices

To help patients choose a Medicare coverage option that best suits their needs, WSHA developed a new Medicare Facts brochure for hospitals and providers to share with Medicare eligible patients.... Read More >>

CMS Updates Form for Medicare Advantage Plan Complaint Process

The Centers for Medicare and Medicaid Services (CMS) recently updated its complaint submission form and process to receive complaints regarding Medicare Advantage (MA) plans regarding noncompliance with the 2024 Medicare... Read More >>

HCA Updates Billing Process for Vaccines Obtained Through Vaccines for Children Program

The Washington Health Care Authority recently sent a Provider Alert to clarify a billing change for administration of vaccines obtained through the Vaccines for Children (VFC) program. The change was... Read More >>

New BBPA Notice of Consumer Rights Required Effective January 1, 2025

Senate Bill 5986, enacted during the 2024 legislative session, adds ground ambulance services to the services subject to the balance billing prohibitions and dispute resolution process under the state’s Balance... Read More >>

Free Webinar Series for Rural Health Clinic Finance and Revenue Cycle

Rural health clinic staff are invited to participate in a seven-part webinar series focused on finance and revenue cycle for rural health clinics (RHCs). The series will occur weekly between... Read More >>

WSHA Comments on Medicare Proposed Inpatient Prospective Payment Hospital Rule for 2025

On June 10, WSHA submitted comments on the Centers for Medicare and Medicaid Services’ (CMS) proposed Inpatient Prospective Payment System rule for FY 2025 after receiving feedback from hospital Chief... Read More >>

OIC Begins Rulemaking on Prior Authorizations, Ground Ambulance Balance Billing, and Pharmacy Benefit Managers

The Office of the Insurance Commissioner (OIC) has begun the rulemaking process for several bills passed during recent legislative sessions: Prior Authorizations: OIC began rulemaking for provisions of 2023’s House... Read More >>

WSHA, HCA Provide Webinar: New Health Coverage for Undocumented Individuals

Please join WSHA and state Health Care Authority (HCA) staff on Thursday, June 20th from 12:00 PM-1:00PM to learn about a new state health care coverage program available to undocumented residents, called... Read More >>

State Attorneys General Admonish United on Change Healthcare

24 state Attorneys General, including the Attorney General for Washington State, sent United Healthcare a letter advising that it should not favor its own entities in its response to the... Read More >>

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