HCA extends annual provider value-based payment survey

The Health Care Authority (HCA) is seeking provider participation in its annual value-based payment survey. The survey is open until September 8. ... Read More >>

WSHA provides draft of comments to OIC on gold carding

WSHA is providing its members a draft version of the comments it will be submitting to the Office of the Insurance Commissioner in response to the OIC’s notice of rulemaking related to alternative authorization processes, sometimes known as gold carding.... Read More >>

WSHA provides hospital analyses: Review needed on occupation mix data, WSHA needs impacts of proposed cuts to 340B drugs, off-campus hospital services

WSHA recently sent three hospital-specific reports to the chief financial officer at each of our member hospitals. The reports include:... Read More >>

WSHA seeks information from hospitals regarding health plan pre-payment audits

Based on conversations with member hospitals and other hospital associations, there is an increasing number of health plans that are subcontracting with outside firms to do pre-payment audits of hospital claims.... Read More >>

US Senate debate on ACA repeal continues – outcome unclear

The rollercoaster effort by Republicans to repeal and replace the Affordable Care Act (ACA) took yet another dramatic turn. As we send this out, the Senate had already voted down two versions of the bill... Read More >>

Medicare proposed rules include massive cuts to payment for 340B drugs, off-campus hospital sites

Proposed rules recently issued by the Center for Medicare and Medicaid Services (CMS) would have significant impacts on hospitals, particularly those that serve significant underserved populations.... Read More >>

DOH proposes increase to hospital licensing fees to cover fire safety inspections

Under a proposed rule, the licensing fee for acute care hospitals, psychiatric hospitals, and alcohol and chemical dependency hospitals will increase by $15 per bed to cover the cost of fire safety inspections performed by the State Fire Marshal’s Office. ... Read More >>

HCA seeks input on annual provider value-based payment survey

The Health Care Authority has issued a value-based payment survey for providers. The survey will assist HCA in tracking progress toward the statewide goal of paying for value-based care, rather than paying for volume of care.... Read More >>

HCA begins rulemaking for rural health clinic managed care encounter payment

Section 213 of the operating budget bill recently passed by the state legislature includes a proviso requiring Medicaid managed care plans pay rural health clinics, upon request, their full encounter rate at the time of service... Read More >>

OIC begins rulemaking regarding alternative prior authorization mechanisms

The Office of the Insurance Commissioner OIC) has begun a rulemaking process regarding alternative prior authorization processes, sometimes known as “goldcarding”.... Read More >>

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