Implementation of Surprise Billing Requirements Underway by AzHHA

Debbie Johnston, Senior Vice President of Policy Development

The Arizona Department of Insurance (ADOI) has issued a Notice of Proposed Rulemaking implementing the surprise out-of-network billing dispute resolution process as required under Laws 2017, Ch. 190, and amended by Laws 2018, Ch.  272. Comments on the proposed rule are due Sep. 30th.

In addition, ADOI is:

  • Drafting notices to be used in dispute resolution process
  • Procuring arbitrators
  • Developing an online system for consumers to request dispute resolution and for insurers and providers to provide information and documents pertaining to cases
  • Creating an employee position to administer the dispute resolution process

ADOI has also developed a website to assist consumers who may have received a surprise out-of-network bill. The site provides information on what constitutes a surprise out-of-network bill, how to try to avoid them, and how the dispute resolution process may be used to resolve them. ADOI welcomes any feedback on the new website, which can be sent here.

AzHHA Releases Hospital Finance Reports for June 2018 by AzHHA

Results for June 2018 show a marked increase in overall operating income year to date. At the same time, the uncompensated care is continuing to run well below the levels encountered when the enrollment was frozen. The graph below illustrates that uncompensated care rose when the number of childless adults covered by the AHCCCS program declined, and then decreased when coverage was restored and expanded to 133 percent of the federal poverty level.

Finance Reports June.JPG

In addition, the childless adult population financed through the provider assessment has declined for seven of the last nine months, as illustrated below. It has increased the last two months, something we should monitor, as this directly affects the provider assessment.

Childless adults.JPG

Don’t Miss This Year’s AzHHA Leadership Conference by AzHHA

Karen Fallquist, Education and Office Coordinator

Have you registered for AzHHA’s Annual Leadership Conference? Taking place October 24-26th at the beautiful Ritz-Carlton, Dove Mountain Resort in Marana, this conference will offer something for everyone, whether you're a hospital administrator or a clinical provider at a health center. While you are registering be sure to book your hotel reservations before rooms sell out. The cut-off date for room reservations is Monday, September 24th. Reservations made after this date will be accepted on a space-available basis only. For conference registration and hotel information, click here.

AzHHA Offers New Locums Managed Services Program by AzHHA

John Koeneke, Vice President of Business Development

AzHHA is pleased to announce its new managed service program, AzHHA Locum Tenens MSP. This new program has been designed to attract and source qualified physicians and mid-level practitioners to the Arizona market place while keeping these key elements in mind:

  • Competitive Pricing - AzHHA members leverage buying power to drive favorable terms and fair market pricing
  • Expand Locum Supply Pool - Access to multiple locums agencies with real-time visibility into locum ordering and spend
  • Decrease time to fill Rate - System driven process moves candidates through recruitment to onboarding stage rapidly
  • Improved Screening – System ensures that pre-submission requirements have been met and only complete profiles are submitted

The program is at no cost or obligation for AzHHA members to participate. If your facility is interested in securing Locums physicians a review of our offering is certainly worth your while. Please contact John Koeneke for more information or question regarding this new program.

Point of Pride: St. Luke’s Medical Center by AzHHA

Demonstrating excellence in invasive/interventional cardiology, and committed to the highest levels of clinical care, innovation, publication and teaching, Dr. Heuser has joined a select group of 50 outstanding innovators in cardiology. Last month, Dr. Heuser, Chief of Cardiology at St. Luke’s Medical Center, was inducted into the 2018 Class of Master Interventionalists of The Society for Cardiovascular Angiography and Interventions (SCAI) (MSCAI), becoming the only Phoenix-based cardiologist to join the prestigious group. In addition to numerous accolades and published works, the Steward Medical Group physician is one of America’s top cardiologists.