2014 apa practice organization report to the apa council
TRANSCRIPT
2014 APAPO Report to the APA Council
Katherine C. Nordal, PhD
501(c)(6) Business/Trade Association
As a 501(c)(6) organization, APAPO can:
Focus on advancing a particular
trade – professional psychology
Engage in unrestricted
lobbying
Work with the new political
action committee,
APAPO-PAC, to facilitate political
giving
APA Practice Organization
APA (c)(3)APA Practice Organization (c)(6)
APAPO-PACEducationAdvocacyTrust
Dol
lars
Revenue
First email fundraiser for APAPO-PAC scheduled for March 2014
Education Advocacy Trust (EdAT)
APAPO Governance
APAPO Board of Directors
Committee for the Advancement of Professional
Practice (CAPP)
Good Governance
Finance
Membership retention and recruitment
Financial and Staffing Resources
2013 Operating Expenses$104.88M$4.67M
APA Practice Organization
2013 Operating Expenses
14.1 569.6Full-Time-Equivalent Employees Full-Time-Equivalent Employees
American Psychological Association
APAPO and APA Comparison
APAPO Mission
APAPO is dedicated to serving the interests
and needs of its constituents: APA
members who pay the annual Practice
Assessment to APAPO.The mission of the APAPO is to advance, protect and defend the professional practice of psychology.
Legislative Advocacy
Top Priorities for 2014• Medicare payment
• Medicare payment formula• Sustainable Growth Rate (SGR) formula• Sequestration
• “Physician” definition in Medicare• HITECH incentive payments for electronic
health records
Legislative and Regulatory Advocacy
• Working in a partisan Congress• Recent achievements
– Medicare payment levels for 2014– Sustainable Growth
Rate (SGR) bill
Legal and Regulatory Advocacy
Mental Health Parity Implementation• Advocacy for more enforceable Final Parity Rule
• Challenges to rate cuts and reimbursement of newbilling codes used by psychologists
• Transparency of medical necessity criteria
Legal and Regulatory Advocacy
• Challenges to state health insurance exchange exclusion of neuropsychologists and inappropriate reimbursement for psychologists
• Support to states on scope of practice issues such as applied behavioral analysis
Marketplace Advocacy
• Alternative practice models
• Incorporation with other health care professionals
• Medicaid advocacy• Hospital medical staff
membership
Aetna/Ingenix settlementPreliminary approval by court
Serving our Members
Major legal and regulatory issues:• HIPAA and
privacy/confidentiality/security
• Record keeping, including EHRs
• Telepsychology
• Responding to subpoenas
• Duty to warn/protect and abuse reporting
Guidance on HIPAA Compliance
HIPAA Final Rule Changes • Effective September 2013• APAPO provided general guidance documents and
updated HIPAA forms• Articles and video in PracticeUpdate and Monitor• Responded to hundreds of member inquiries
Marketplace Advocacy
Theme of 2014 State Leadership Conference
Health Care Reform Implementation
Health Insurance Exchange rollout
Federally operated exchange
Federal and state joint exchange
State operated exchange
State small business healthoption program
Health Care Reform Summits 2012North Carolina Psychological AssociationIdaho Psychological AssociationMaine Psychological AssociationCalifornia Psychological AssociationIndiana Psychological AssociationOregon Psychological AssociationWashington State Psychological Association
2013Connecticut Psychological AssociationWisconsin Psychological AssociationNevada Psychological AssociationMinnesota Psychological AssociationSouth Carolina Psychological AssociationRhode Island Psychological AssociationOhio Psychological AssociationOklahoma Psychological AssociationVermont Psychological Association
2011New York State Psychological AssociationMassachusetts Psychological AssociationMaryland Psychological Association
Most Highly Sought Information (Q15)
2013
Regulatory compliance (HIPAA, other)Legal updates
ICD code usage
Information on latest treatment procedures and models
Legislative updates
Fact sheets/handouts for clients
Psychology-related news
Information on working with Medicare/Medicaid
89.7%86.585.1 82.480.880.2
73.258.4
Percent of respondents who answered “extremely interested” or “interested”
2013 Member Survey: Most Highly Sought Information
Most Important APAPO Activities (Q25)
Protecting reimbursement for psychological services
Legislative advocacy efforts
Helping states protect the doctoral degree as the standard for psychologist licensure
Raising psychology’s visibility in the marketplace
Educating the public about psychologists and psychological services
98%
97
89.9
89.2
87.8
Percent of respondents who answered “extremely important” or “important”
2013 Member Survey: Most Important Activities
Keeping Practitioners Informed• Good Practice magazine• PracticeUpdate e-newsletter• Practice Central website: www.apapracticecentral.org
Member Communications
• Funding level maintained for 2013• Organizational development, legislative,
emergency and Canadian• $250,000 awarded in
organizational developmentgrants to 26 states andDC
• $185,000 awarded inlegislative grants to 13 states
Serving SPTAs: Annual CAPP Grants
Serving SPTAs: 2013 CAPP Grant Examples
Minnesota• Ensuring psychologists’ role in behavioral health homes.
Vermont• Supporting the inclusion of psychologists in legislative process
during Vermont’s consideration of a Single Payer Plan.
Kentucky• Ensuring parity in private insurance and Medicaid.
Georgia• Pursuing efforts to defend scope of practice regarding
psychological assessment.
MEMBER SUPPORT IS VITAL FOR SUSTAINING OUR ADVOCACY
If Not APAPO, Who Else?
• Challenging Medicare and private sector payment cuts
• Supporting litigation and regulatory action against managed care/insurance company abuses
• Advocating for practitioners’ interests in health care reform
• Affirming the doctoral standard for independent practice in state licensing laws
• Confronting assaults on psychologists’ scope of practice
Proposed change in CAPP responsibilities
APAPO Good Governance
Join us during APAPO lunch for furtherdialogue
