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Government Relations2019-11-12T13:32:42-05:00

AAHAM Applauds Energy & Commerce Committee for unanimously agreeing to send HR 3630 to the House for a vote July, 2019

Fairfax, VA – The American Association of Healthcare Administrative Management (AAHAM), the leading professional association focused exclusively on the healthcare revenue cycle applauds The House Energy & Commerce Committee’s 48-0 vote to send H.R. 3630, the No Surprises Act, to the full House of Representatives for consideration. This legislation seeks to protect patients and families from “surprise” or out-of-network medical bills, which has become a major issue for patients.

“AAHAM applauds Chairman Frank Pallone (D-NJ) and Ranking Member Greg Walden (R-OR) for their hard work and willingness to allow all sides to be heard on this complex issue” said AAHAM President, John Currier, CRCE-I. “We want to thank all the members of the Committee for their work by taking the first step towards ensuring patients are protected and there is an independent body who will serve as arbitrator in these types of cases” Currier added.

H.R. 3630 includes a last-minute bi-partisan amendment offered by Representative Raul Ruiz (D-CA) and Representative Larry Bucshon (R-IN), which would allow certain payment disputes between providers and health plans to go to arbitration. The Ruiz-Bucshon amendment would let either side appeal the federal benchmark payment to an arbiter in cases when the median in-network rate paid to doctors or hospitals exceeds $1,250.

“Today Congress took another step forward to ensuring we take the patients out of the billing equation. Thanks to a bi-partisan effort by Rep. Ruiz and Rep. Bucshon, we get closer to creating a billing system that allows for an independent voice to decide the outcome and not a federal benchmark rate, which would likely drive up the cost of healthcare for everyone” said AAHAM 2nd Vice President, Amy Mitchell, CRCE-I.

“Baseball style arbitration works” stated AAHAM Treasurer, Kenny Koerner, CRCE-I. In my home state of Illinois, we have baseball style arbitration and it works. We don’t walk away happy with every outcome, but we know by having an independent voice review the claims of both sides, we have the chance to be heard” he added.

AAHAM will continue to work with all relevant Committee’s in the House and Senate on this critical issue. AAHAM supports patients and bringing healthcare costs down through Baseball style arbitration.
ABOUT AAHAM

AAHAM is a national professional association of thirty-one chapters and over 3000 healthcare revenue cycle professionals from hospitals, clinics, billing offices, allied vendors, physicians and multi physician groups. AAHAM members direct the activities of the thousands of people who are employed in the healthcare industry.

AAHAM is the premier professional organization for revenue cycle professionals and is known for its prestigious certification and educational programs; professional development of its members is one of the primary goals of the association. AAHAM is also recognized for its quarterly journal, The Journal of Healthcare Administrative Management and its Annual National Institute. AAHAM actively represents the interests of its members through a comprehensive program of legislative and regulatory monitoring and participation in industry groups. For more information on AAHAM and its programs, please visit www.aaham.org or contact AAHAM, 703.281.4043.

By |November 12th, 2019|Categories: Government Relations Updates|Tags: |0 Comments

Government Relations Update

Brenda Fraas, Kandi Housley, and I attended this year’s 14th Annual AAHAM Legislative Days in Washington, D.C. on March 26 & 27, 2018. We were joined by and networked with AAHAM leaders, peers and other healthcare advocates from across the country. This year’s topic was the 340B Drug Pricing Program. AAHAM members were there to support program integrity efforts to ensure this vital program remains available to safety-net providers and expanding the program to certain rural hospitals.

The agenda was filled with 2 days of speakers preparing us for the conversations we were scheduled to have with the Staffers on the Hill. Including our other Pennsylvania Chapters, we were able to meet with staffers from 6 different members of the House of Representatives and the 2 staff members of the Senate. A nice advantage this year was that two dozen Representatives were already sponsoring a bill to keep 340B in place, so our charge was to create the same sense of urgency toward “doing the right thing” with our Senators. Follow-up continues so please reach out to any of us regarding how to get involved through letters, messages and other venues that we use that keep the topic in the forefront of their minds. As chapter members, you have access to current and past Position papers that we’ve lobbied for through this link: http://www.aaham.org/PositionPapers.aspx

Great synergy between the Three Rivers chapter and the other three PA Chapters was created, not only for Leg Day but on state matters, too. Three topics have been agreed upon for our “State Monitoring” program, which AAHAM drives and supports by feeding our Chapter(s) the latest news about particular House Bills that affect Providers.  Here are the three STATE bills that are currently being monitored:

  • HB 1553 and SB 677 – An Act providing for the protection of consumers of health care coverage against surprise balance bills for emergency health care services or for other covered health care services when health care services are sought from in-network facilities.
  • SB 780 – An Act relating to telemedicine; authorizing the practice of telemedicine by health care providers; and providing for insurance coverage of telemedicine.
  • HB 1293 – An Act providing for pre-authorizations conducted by utilization review entities relating to health care services

Thanks all for the chance to serve you in this capacity!

Ken Kreiger, Legislative Chair

2020 Legislative Day

The 2020 Legislative Day will be held April 20-21, 2019 at the Hyatt Regency Washington on Capitol Hill.

For more information on the 2020 Legislative Day or to register for the event, please visit https://www.aaham.org/LegislativeDay.aspx.

State Monitoring

AAHAM offers a benefit called State Monitoring.  This service is provided to help us monitor top Legislative issues in Pennsylvania. Click on the blue hyperlink below, which provides data regarding a summary, the bill activity, sponsors and any votes that have taken place.

Bill: HB 1354
State: PA
Title: An Act amending the act of June 13, 1967 (P.L.31, No.21), known as the Human Services Code, in public assistance, further providing for income for the community…
Session: 2017-2018 Regular Session
Introduced: 05/09/2017
Last Action:07/07/2017
Sponsor: Seth M. Grove

Other bills we are following and will UPDATE AS A NOTABLE ACTION OCCURS include:

  • HB 1293 – An Act providing for pre-authorizations conducted by utilization review entities relating to health care services
  • HB 1553 and SB 677 – An Act providing for the protection of consumers of health care coverage against surprise balance bills for emergency health care services or for other covered health care services when health care services are sought from in-network facilities.
  • SB 780 – An Act relating to telemedicine; authorizing the practice of telemedicine by health care providers; and providing for insurance coverage of telemedicine.