State Medicaid Cuts to Hospital Based Clinics Could be $75 Million Per Year

The Health Care Authority recently provided us with details on the proposed Governor’s budget cuts to hospital based clinics.... Read More >>

WSHA Comments on OIC Proposed Rule on Prior Authorizations

Last month, the Washington State Office of the Insurance Commissioner (OIC) issued a proposed rule on prior authorizations.  The OIC action follows WSHA and the Washington State Medical Association requests for more scrutiny of insurer practices and a lengthy and comprehensive stakeholder draft process. OIC accepted comments on the proposed rules through January 4, 2017. A... Read More >>

WSHA’s Policy and Budget Priorities for 2017 Legislative Session

WSHA is expecting this to be a very challenging legislative session given the state’s budget situation and K-12 education obligations.... Read More >>

Office of the Insurance Commissioner Issues Another Draft of Balance Billing Legislation

The Washington Office of the Insurance Commissioner (OIC) recently issued a new draft of what we anticipate will become a bill to restrict balance billing.... Read More >>

HCA to Change Medicaid Outpatient Hospital Payment April 1, 2017

On April 1, 2017, the Health Care Authority (HCA) plans to update the outpatient weights used for payment under the Enhanced Ambulatory Payment Group (EAPG) system at prospective payment hospitals. ... Read More >>

OIC Issues Proposed Rule on Prior Authorizations

Last week the Washington State Office of the Insurance Commissioner (OIC) issued a proposed rule on prior authorizations.... Read More >>

CMS Finalizes MOON Form – Notification Requirements Effective March 8

Last week, the Centers for Medicare & Medicaid Services (CMS) finalized and posted its Medicare Outpatient Observation Notification (MOON) form. ... Read More >>

Governor Releases Budget, Proposes Medicaid Cuts for Hospital Outpatient Services

Wednesday Governor Inslee released his state budget proposal, which includes more funding for mental health services but unfortunately also includes a cut of $42 million over the two year period for services to Medicaid enrollees at hospital-based clinics... Read More >>

Is it Better it Lease or to Buy Capital Equipment? WSHA Industry Partner Offers Webinar

Hospitals and other organizations are seeking ways to obtain needed capital equipment while retaining flexibility to adapt to changes in health care payment.... Read More >>

HCA Seeks Participants in Rural Health Clinic Alternative Payment Model

The Washington State Health Care Authority (HCA) is seeking rural health clinics interested in piloting a new alternative payment model (APM). The pilot will also include interested federally qualified health centers. Facilities interested in piloting the new model must sign a letter of intent by December 31, and work with HCA to finalize a memorandum of understanding in the following months. ... Read More >>

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