News

New State Law Restricts Use of Noncompete Agreements

The purpose of this bulletin is to provide an overview of recent changes to Washington’s laws restricting employers’ use of noncompete agreements.... Read More >>

HCA Announces 20 Percent Add-on Payment for Medicaid COVID-19 Admissions

WSHA has been in discussions with HCA for several months with a request to increase payment for COVID cases. We are pleased that  August 10, HCA announced  it received CMS approval to temporarily pay an enhanced payment rate for Medicaid COVID-19 inpatient claims. The change will result in a 20 percent increase in payment for... Read More >>

Proposed CMS Outpatient Rule Includes Changes to Inpatient-Only List, 340B Hospital Payment

August 4, the Centers for Medicare & Medicaid Services (CMS) released the calendar year (CY) 2021 outpatient prospective payment system (OPPS)/ambulatory surgical center (ASC) proposed rule. Major provisions of the proposed rule include: An overall update to OPPS payment rates of 2.6 percent in CY 2021; Elimination of the inpatient-only list over three years, beginning... Read More >>

HCA Expands Medicaid Access in 2021 in Three Regions

To improve patient access to care, HCA is adding additional Medicaid managed care organizations (MCO) in three different service regions.  This is a result of the state’s finding that Medicaid enrollees had difficulties getting mental health and substance use disorder treatment in several of the regions.  To address this, HCA  announced starting in 2021: (1)... Read More >>

WSHA Comments on State Innovation Proposals

WSHA recently provided input regarding two state health care proposals: Cascade Care Subsidy Study. In its comments to the Washington Health Benefit Exchange (HBE), WSHA detailed the ways hospitals currently are already subsidizing low-income health care and urged the HBE to examine broader funding models that do not unduly burden hospitals. (Shirley Prasad, shirleyp@wsha.org )... Read More >>

WSHA Releases Regulatory Update

WSHA’s Government Affairs team has published its update to its State Regulatory Issues webpage. Members will find a comprehensive view of state rulemaking activities that affect them. This month, the team is highlighting: DOH Alignment with CMS 1135 Blanket Waivers and HHS Guidance on HIPAA Regulations Behavioral Health Services Administrative Requirements Pharmacy Rules Re-Write Clean Building... Read More >>

WSHA Comments on Balance Billing Protection Act Stakeholder Draft Rules

August 6, WSHA submitted comments to the state’s  stakeholder draft rule related to the Balance Billing Protection Act (BBPA). This Act passed during the 2019 legislative session and was effective January 1, 2020. In its comments, WSHA requested hospitals be given a longer time period following an emergency room visit before the hospital must notify the patient... Read More >>

Website Provides Answers to COVID-19 Payment and Coverage Questions Including Remdesivir

The Washington Healthcare Forum website continues to address provider COVID-19 billing and payment questions for commercial plans, Medicare, and Medicaid, including Medicaid managed care. At WSHA’s request, the Forum recently queried carriers regarding Remdesivir coding and payment.  The Forum expects there to be responses posted soon. The site has information posted in a Frequently Asked Questions format... Read More >>

Washington State Health Care Cost Transparency Board Formation

The purpose of this bulletin is to inform hospital and hospital systems about Substitute House Bill 2457, which creates the state Health Care Cost Transparency Board (“Board”). The Board’s objective is to determine the annual total health care expenditures and growth in Washington state and establish a health care cost growth benchmark (“Benchmark”). The Board will compare health care provider’s expenditures to the Benchmark and release reports that identify those that exceed the Benchmark. Due to WSHA’s advocacy, when determining the Benchmark, the Board will include and consider the cost drivers of health care. ... Read More >>

Celebrating 30 years of the Americans with Disabilities Act

This week we are celebrating the 30-year anniversary of the Americans with Disabilities Act (ADA), which became law in 1990.... Read More >>

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