This Committee develops and implements strategies specific to policy, operations, and reimbursement that impact the fiscal viability of members. The Committee continues to work on issues and develop strategies related to the Medicare Wage Index, and medical assistance modernization. Recent topics of discussion have included uncompensated care, rate transparency, budgeting, sequestration, Medicare Managed Care Organizations (MCO), Medical Assistance MCOs, revenue cycle opportunities, and payor behavior.
The Chief Financial Officers Committee continues to work on Medicare Wage Index improvement strategies, including expanding the wage index scrubbing initiative to include Pittsburgh, Johnstown and PA Statewide Rural improvement projects. The Committee is also completing an Occupational Mix project, which has returned over $120 million in revenue to western Pennsylvania hospitals since FY 2009. Through this forum, Healthcare Council, along with its members, has developed additional strategies for the improvement of reimbursement. In addition, this Committee reviews opportunities for participation in national level appeals of Medicare issues. The Committee also discusses payor related issues and impacts related to healthcare reform and regulatory changes, including health insurance exchange products and Medicaid expansion.
Medicare Wage Index
Commercial and Managed Care
Patient Responsibility Amounts
Since its beginning, Healthcare Council has played a vital role in turning the vast quantities of data into timely meaningful information and knowledge for the membership, the communities we serve and the people that represent us. Healthcare Council continues to provide members with credible data on a regional level, which is designed to assist members with their operations.