Government Reimbursment and Regulatory

PURPOSE

The Regulatory Agency, Government and Reimbursement Practices Committee reviews actions taken by Congress, CMS, the State of Minnesota legislature (or any legislature affecting Minnesota healthcare finance), state agencies such as the Departments of Human Services (Medicaid), Health or Commerce, the Medicare intermediary and Medicare carrier and other similar agencies that have a financial impact on hospitals. The committee is charged to make these activities and actions known to the Chapter Board, its Executive Committee and appropriate chapter committees so that information can be disseminated to the chapter membership. The committee, with Board approval, acts unilaterally, or in cooperation with the Minnesota Hospital Association (MHA) and other healthcare professional groups, to lobby the Healthcare Financial Management Association and/or chapter position on specific issues or actions. On occasion, the activities of the committee may extend to national legislative agency actions in coordination with the Chapter Technical Advisory Committee or a National Matrix Committee. The Committee, with Board approval, acts unilaterally, or in cooperation with the Minnesota Hospital Association (MHA) and other healthcare professional groups, to lobby the Healthcare Financial Management Association and/or chapter position on specific issues or actions. On occasion, the activities of the committee may extend to national legislative agency actions in coordination with the Chapter Technical Advisory Committee or a National Matrix Committee.

GOALS AND OBJECTIVES

A. Work with MHA and/or other chapter committees or professional groups as requested, on
                      projects of mutual interest in lobbying efforts with 
Congress, the state legislature and other
                      agencies.

B. Conduct a survey of chapter membership, as necessary, on the impact of various changes in state
                     or federal reimbursement.

C. Work with the Department of Human Services on the ongoing review of reimbursement rates,
                     methodology, etc.

D. Inform the chapter membership via minutes reporting to chapter President Elect on
                     reimbursement or agency issues that could substantially affect the financial viability of their
                     institutions. Coordinate any appropriate lobbying effort.

E. Counsel any legitimate agency, payer, coalition, professional, or trade group on healthcare
                     financial management input on rules, regulations,
reimbursement methodology, etc.

COMMITTEE CO-CHAIRS

Diane Delsantro
ddelsan1@fairview.org
  

Joe Schindler
jschindler@mnhospitals.org