News

Let’s Celebrate: CMS Withdraws MFAR Proposed Rule

Monday, the Centers for Medicare and Medicaid Services (CMS) announced it was withdrawing its proposed Medicaid Fiscal Accountability Rule (MFAR). WSHA was very pleased with this result. ... Read More >>

WSHA, AHA, 340B Advocacy Groups Urge HHS to Address Drug Manufacturer Activities

Opposition is growing to recent efforts of drug manufacturers to restrict drug discounts for 340B hospitals and access to life-saving drugs for patients. ... Read More >>

WSHA Comments on Second Balance Billing Stakeholder Draft Rule

August 31, WSHA submitted comments to the Office of the Insurance Commissioner (OIC) on its second stakeholder draft rules for implementation of the Balance Billing Protection Act (BBPA). ... Read More >>

WSHA Releases Regulatory Update

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: ... Read More >>

CMS Price Transparency Rule Requires Substantial Preparation and Compliance

The purpose of this bulletin is to provide information to hospitals concerning the CMS Price Transparency Rule, which requires hospitals to post on their website in a machine-readable format an expanded definition of “standard charges”, including negotiated payment rates with insurers, for all services provided by the hospital. The rule also requires hospitals provide similar price information for at least 300 “shoppable services” in a consumer-friendly, searchable format. Hospitals must comply with the new rule effective January 1, 2021.... Read More >>

OIC Proposes Hospitals Must Comply with Quick Notices to Patients for Balance Billing

The Office of the Insurance Commissioner, in its new second stakeholder draft for rulemaking on the Balance Billing Protection Act, is proposing hospitals must comply with quick notices to patients using the emergency department. ... Read More >>

Carriers Respond to Remdesivir Payment and Coverage Questions

The Washington Healthcare Forum website now contains information on carriers’ requirements for coverage and payment for Remdesivir. At WSHA’s request, the Forum recently queried carriers on their policies. ... Read More >>

CMS Clarifies COVID Test Requirements for Medicare COVID Inpatient Enhancement

For hospital inpatient admissions occurring on or after September 1, the Centers for Medicare and Medicaid Services (CMS) has clarified that hospitals will be required to document a positive COVID-19 test in order to obtain the 20 percent add-on to regular MSDRG payment. Hospitals can include positive tests obtained during ... Read More >>

WSHA Releases Regulatory Update

WSHA’s Government Affairs team has published its update to its State Regulatory Issues webpage. ... Read More >>

Hospitals Contracting with DSHS Must Provide Additional Assurances

Hospitals and health systems which contract with Washington State’s Department of Social and Health Services (DSHS) for adult care, mental health, addiction, disability support or youth services are now required to assure that such services will not be disrupted or delayed by economic or industrial actions. ... Read More >>

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