WSHA Contacts OIC Regarding Health Carrier’s Drug Benefit Change

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 >>

CMS Issues Final OPPS Rule, Includes Transparency Law Changes

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 >>

HHS Finalizes Remedy for Unlawful Cuts to 340B Hospitals.

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 >>

Federal Agencies Propose Changes to No Surprises Act Independent Dispute Resolution Processes

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 >>

Pharmacy Quality Assurance Commission to Begin Rulemaking on Provider-administered Drugs

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 >>

DOH Provides Instructions on New Financial Reporting Requirements

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 >>

WSHA Comments on No Surprises Act IDR Fees

WSHA will provide comment on a CMS proposed rule that would set filing fees for providers requesting arbitration under the federal No Surprise Act (NSA) Independent Dispute Resolution (IDR) process.... Read More >>

State Medicaid Enrollment Down, But Still Above Pre-Covid Levels

In its most recent report, the Health Care Authority (HCA) shared that approximately 52,000 Washingtonians were disenrolled from the Apple Health program in August due to ineligibility and 22,000 Washingtonians were... Read More >>

OIC Asks for Feedback on Balance Billing Law & Federal Court Puts Hold on No Surprises Act Arbitration

WSHA recently responded to a request for information regarding whether the state Office of the Insurance Commissioner should extend the state’s own dispute resolution process under the state’s Balance Billing... Read More >>

CMS Finalizes FY 2024 Medicare Inpatient Hospital Payment Rule

On August 1, the Centers for Medicare and Medicare Services (CMS) published its final inpatient prospective payment system hospital rule for federal fiscal year 2024. The provisions of the rule... Read More >>

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