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Pacific Health Systems

Hospital SystemsIntegrated CareWest Coast Healthcare
18 provisions tracked
6 positive
5 negative
1 conflict
NegativeSec. CMS-2026-0142 · CMS Medicare Part B Payment Reform

Medicare Part B Drug Payment Rate Adjustment

Pacific Health's outpatient infusion centers operate on Part B buy-and-bill margins. ASP+3% threatens viability of 6 chemotherapy infusion centers.

ACTION: Coordinate with AHF on joint hospital system advocacy. Quantify patient access impact for West Coast service area.
$2.1B estimated savings over 5 years
NegativeSec. CMS-2026-0156 · CMS Hospital Payment Policy

Hospital Outpatient Prospective Payment Update

Pacific Health estimates $68M annual revenue loss from site-neutral expansion in cardiac and orthopedic services. 4 outpatient facilities at financial risk.

ACTION: Prepare Pacific Health CFO for Senate Finance testimony. Quantify patient access impact for West Coast rural communities.
$14.2B in total OPPS payments (CY2027)
IndirectSec. CMS-2026-0195 · CMS Medicaid Quality Reform

Medicaid Managed Care Quality Rating Update

Pacific Health's Medicaid managed care contracts in CA, OR, WA subject to new quality metrics. Potential bonus payments for high performers or penalties for underperformers.

$450M for state implementation grants
PositiveSec. HR-5012 · Legislative — Medical Devices

Medical Device Innovation Act

Pacific Health's innovation partnerships with device companies benefit from expedited review. 3 co-development projects could reach market 12-18 months faster.

ACTION: Brief Pacific Health innovation team on expedited review opportunities. Coordinate with device partners on joint FDA submissions.
$200M device innovation grants + regulatory modernization
PositiveSec. S-3156 · Legislative — Rural Health

Rural Hospital Preservation Act

Pacific Health operates 4 rural and critical access hospitals in OR and WA. Enhanced reimbursement improves viability of facilities currently operating at negative margins.

ACTION: Prepare Pacific Health rural facility impact analysis. Coordinate with AHF on joint advocacy strategy.
$3.8B over 5 years
PositiveSec. FDA-2026-D-0234 · FDA Regulatory Guidance

AI/ML-Based Medical Device Guidance

Pacific Health's 3 AI diagnostic pilots benefit from regulatory clarity. Clearer pathway accelerates system-wide deployment of AI clinical decision support.

ACTION: Brief Pacific Health CMIO on guidance implications for current AI pilots. Prepare implementation timeline for system-wide rollout.
Regulatory framework — no direct funding