Evaluating Washington State’s cardiac and stroke emergency response system

During the 2022 legislative session, policymakers passed SSB 5821 that directs the Washington State Department of Health (DOH) to evaluate the state's cardiac and stroke emergency response system.... Read More >>

Comments on CMS inpatient proposed rule due Friday, June 17

On April 18, 2022, the Centers for Medicare & Medicaid Services (CMS) issued its proposed FY 2023 Inpatient Prospective Payment System (IPPS) rule.... Read More >>

New Medicaid hospital payment rates and grouper weights effective July 1, 2022

New Medicaid inpatient and outpatient hospital payment rates will be in effect July 1, 2022, due to the Washington State Health Care Authority’s (HCA) rebasing of its prospective payment methodologies. The changes apply to hospitals that receive Medicaid payment from the Health Care Authority or managed care organizations (MCOs) for inpatient and outpatient services paid... Read More >>

WSHA and WSMA representatives advise State’s Cost Transparency Board

Washington hospitals should be judged based on their own performance, not by the experiences in other states. Also, when comparing hospital performance across states, data should be adjusted for case mix as well as per capita hospital use. That was some of the advice given to the state’s Health Care Cost Transparency Board during a... Read More >>

Heath Care Authority releases distressed hospital grant application

The state operating budget (ESSB 5693) passed during the last legislative session included $8 million in funding for hospitals in financial distress. The Washington State Health Care Authority (HCA)  is opening the application period for the distressed hospital grants authorized by the legislature.  HCA will have two grant application periods with $4 million each period.... Read More >>

Health Care Cost Transparency Board asks for increased hospital data

On May 18 the Health Care Cost Transparency Board (HCCTB) unanimously passed a motion authorizing the Board to seek additional data to inform its work, such as available data from Medicare hospital cost reports. Prior to passing this motion, the Board heard a report about Colorado hospital financial metrics, which raised significant issues with prices... Read More >>

Washington hospital commercial payment among lowest in country, compared to Medicare payment

A recent analysis of hospital claims data by the RAND Corporation determined that commercial payment rates for Washington hospitals are among the lowest in the nation, when compared to Medicare payment for the same services. According to the analysis, the aggregate differential for Washington hospitals was the third lowest among the 49 states and District... Read More >>

OIC posts slides for recent E2SHB 1688 webinars – Balance Billing Protection Act

The Washington State Office of the Insurance Commissioner (OIC) recently posted the slide decks for their recent webinars detailing changes to state law to align the state’s Balance Billing Protection Act (BBPA) with the federal No Surprises Act (NSA) and expand the BBPA balance billing protections to include crisis behavioral health services. OIC is in... Read More >>

HCA requests survey information to shape implementation of WA Primary Care Transformation Model

The Washington Health Care Authority is seeking survey responses from primary care provider groups related to their capacity to adopt the Primary Care Transformation Model. Specifically, HCA needs to understand clinic’s/practice’s current capacities and needs as it designs a sustainable primary care model for patients, providers, payers, and purchasers. Additionally, HCA seeks to determine to... Read More >>

WSHA adds recent bulletins to New Law implementation Guide

WSHA continues to update its New Law Implementation Guide, which provides links to bulletins, webinars, and other resources for implementation of legislation passed during the last few legislative sessions. Recently released bulletins include: Hospitals Must Adopt Pathogen Policy By January 1, 2023 (HB 1739) Bulletin – Effective January 1, 2023 New Discharge Notification Requirements for... Read More >>

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