Financial Services

NCHA Financial Services staff help members navigate the ongoing changes in healthcare finance while protecting funding and reimbursement. As demands increase to control expenditures in an environment of new regulations and evolving reimbursement methods, members can rely on NCHA’s financial services for information and guidance to stay viable.

The association often represents members’ financial interests before federal and state regulatory agencies and third-party payers. The staff also manages the Medicaid Reimbursement Initiative/Gap Assessment Program and convenes workgroups with members to work on issues related to government and commercial payers.


NCHA is providing estimate analysis of hospital assessments and IGTs due SFY 2024 Q2 based on SFY 2023 HASP interim payments, current Traditional Medicaid, and upcoming December 1 launch of Medicaid Expansion. HASP interim payment amounts are also included.

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2023 Legislative Session Assessment Analysis

Includes an analysis of the postpartum and home and community benefits assessments to member hospitals. The analysis provides a yearly impact of the new assessment for 2023-2027, showing the growth in assessments that do not materially benefit hospitals.

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Hospital Assessments

Includes hospital provider assessment and intergovernmental transfer (IGT) components by each quarter.View Member Report(s)


2023 Cumulative Risk Analysis

Details state and federal policies that are expected to impact North Carolina hospitals in 2023. Estimates are provided at the hospital, system and state level. Updated January 2023.
View Member Report(s)


Federal Analyses – DataGen Reports

NCHA contracts with the Hospital Association of New York State (HANYS) to offer DataGen reports to members.

DataGen reports:

Interpret changes in healthcare payment policy.

Model the impact of healthcare payment changes on revenue, quality, and profitability.

Help members to act on insight to drive organizational change.

View Member Report(s)

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North Carolina Healthcare Association

5440 Wade Park Blvd, Suite 410
Raleigh, NC 27607

Main: 919-677-2400
Fax: 919-677-4200
Mail to: PO Box 4449, Cary, NC 27519-4449

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