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.
MRI/GAP Plan Payments
Includes a detailed schedule of the impact of the latest MRI/GAP plan transactions. The latest model is the 2020 MRI/GAP plan true-up with the per-diem UPL.
View Member Report(s)
Managed Care Analysis
The Medicaid Managed Care Analysis shows the potential hospital reimbursement impact as a result of North Carolina switching from a Medicaid fee-for-service (FFS) delivery system to a Medicaid managed care delivery system. The analysis allows hospitals to adjust key inputs that impact hospital reimbursement in Medicaid managed care. Key inputs include utilization trends, cost inflation, denial rates, etc.
Hospital Base Rates
Hospital-specific base rate calculations for inpatient DRG and outpatient RCC and rehabilitation-specific base rate calculations.
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.
NCHA Staff Contact
Jeffrey Weegar, CPA
Vice President
Financial Policy
919-677-4231
jweegar@ncha.org
Ronnie Cook, CPA
Consultant
Finance & Managed Care
919-677-4225
rcook@ncha.org
North Carolina Healthcare Association