Many of our members have expressed frustration with the increasing burden of expanding health plan requirements on prior authorizations. WSHA and the Washington State Medical Association have been in discussions with the health plans directly as well as with the Office of the Insurance Commissioner (OIC). ... Read More >>
On April 28 from 10:00-11:30 a.m., the Health Care Authority will be hosting a webinar to provide hospital staff an overview of the state’s Medicaid readmissions policy and an explanation of the quarterly hospital reports HCA sent each facility as part of its program on potentially preventable readmissions.... Read More >>
o prepare hospital staff for the SFY 2013 Disproportional Share Hospital (DSH) audit, the state’s consultant, Myers and Stauffer conducted a provider training webinar on April 7, which included a brief recap of the DSH rule and detailed overview of survey process. ... Read More >>
Washington Hospital Services Industry Partner SUNRx is introducing a new prescription discount program aimed at helping all patients access discounted medications at any pharmacy. Patients can benefit from the savings of this program regardless of if they are insured, uninsured or underinsured, and they are not required to participate in SunRx’s 340B program. ... Read More >>
Last week, the Washington State Legislature reached agreement on a supplemental budget and concluded its special session. Overall, WSHA is very pleased with the results of the 2016 state legislative session. The budget is very good for hospitals and health systems, provides significant new funding for mental health and makes no significant cuts to hospitals or health care.... Read More >>
Certain changes to Medicare billing requirements may require a delay in payment for some rural health clinic services. We believe the delays in billing will be relatively minor, but are interested in hearing more from those with rural health clinics.... Read More >>
To prepare for the SFY 2013 Disproportional Share Hospital (DSH) audit, the state’s consultant, Myers and Stauffer will be conducting a provider training on April 7, 2016 from 10:30a.m.-1:00 p.m. Myers and Stauffer performs the federally-required annual DSH audits for Washington and several other states. During the provider training session, Myers and Stauffer will provide a brief recap of the DSH rule and go through the survey process in detail.... Read More >>
On April 28 from 10:00-11:30 a.m., the Health Care Authority will be hosting a webinar to provide hospital staff an overview of the state’s Medicaid readmissions policy and an explanation of the quarterly hospital reports HCA sent each facility as part of its program on potentially preventable readmissions.... Read More >>
The Health Care Authority (HCA) is encouraging payers and providers to complete its survey on value based payments, “Paying for Value Survey: Measuring Health Care Payment and Delivery System Transformation in Washington State.” The survey will track movement towards value-based payment adoption, barriers to adoption, and implementation of accountable health care strategies.... Read More >>
The Health Care Authority is still in process of providing additional information on its changes to Apple Health enrollment under which clients will be retroactively enrolled in managed care from the beginning of the month. The information will be provided in the form of a Frequently Asked Questions document, generated in response to questions raises by WSHA and WSHA member hospitals.... Read More >>
