Council on Healthcare Systems and Financing

CHARGE

  • Work to foster parity and other non-discriminatory policies for mental health coverage, an activity that will require active monitoring and participation in activities generated through federal and state agencies, private commercial insurance carriers, and other fiscal intermediaries and the business community.
  • Articulate and advocate for adequate funding and reimbursement for psychiatric and other mental health services in all settings, commensurate with the burden of disease and disability.
  • Monitor and evaluate emerging trends in healthcare delivery and financing, including trends in both the public and private sector.
  • Work closely with the APA and its components in proposing changes or modifications in public and private policy affecting access, funding and quality of psychiatric and mental health services nationally and regionally.
  • Articulate and promote adequate resources for appropriate standards of care including identifying both regions and patient populations lacking in access to psychiatric and mental health services and recommending strategies and/or mechanisms for addressing manpower shortages and other barriers to accessing quality care.
  • Work to foster the integration of the delivery of psychiatric and mental health services with the delivery of primary care services, which will involve the development of multiple models of care.
  • Collaborate with other APA components involved in carrying out effective educational programs in the area of healthcare delivery and finance.
  • Disseminate, broadly, information to the membership on developments relating to healthcare systems and financing through articles in Psychiatric News and other APA publications as well as through programs at the Annual Meeting and at regional meetings, as appropriate.

COMPOSITION

Components

Committee on APA/Business Relations:
  Charge: The Committee on APA/Business Relations‘ basic charge includes responsibility for the development and implementation of the APA‘s overall communication and education efforts directed specifically at business and industry with the following objectives to: (1) establish a dialogue with industry to improve business/industry‘s basic understanding of mental illness and its effects on the workplace and psychiatry‘s understanding of business/industry‘s needs; (2) improve business/industry‘s understanding of the nature, role, and significance of psychiatry in the delivery of treatment and care; (3) educate employers about the value of and appropriate access to health insurance benefits for psychiatric and substance abuse care; and (4) educate APA members and District Branches about the significant role of business in the current healthcare environment and the necessity of communicating effectively with them.
  Composition: Standard committee composition. This committee is not authorized to meet in person except at the APA Annual Meeting. History: Established December 1999 on recommendation of the Task Force to Develop Strategies for Business; restructured May 2002.

Committee on RBRVS, Codes and Reimbursements:
  Charge: The CPT coding system and the RBRVS represent the principal means of classification and payment determination for physician services by both private and public third-party payers. The committee is charged with policy development, educational, liaison and advocacy efforts for the APA respecting physician payment issues. Specifically, it will have primary responsibility for: (1) AMA CPT process; (2) AMA RBRVS Update Committee; (3) APA member services on physician coding and documentation; and (4) liaison with the Medicare Advisory Corresponding Committee and other APA components regarding coding issues.
  Composition: 8 members, to be appointed by the president-elect will serve a total of three consecutive 3-year terms. Consultants are appointed to one (1) year terms and total tenure is not to exceed 9 years of contiguous service on the committee. Two years must pass before a consultant with 9 years of contiguous service as a consultant may be reappointed to the committee as a consultant. The committee is not authorized to meet in person, except at the APA Annual Meeting. History: Established 1987 as a work group; continued 1989; transferred from Board component to component within Council on Economic Affairs [now Council on Healthcare Systems and Financing], March 1990; changed to committee March 1999. March 2000, Committee on Codes and Reimbursements combined with Committee on the Harvard Resource-Based Relative Value Scales Study as Committee on RBRVS, Codes and Reimbursements; restructured May 2002; composition restructured December 2007.

Committee on Reimbursement for Psychiatric Care:
  Charge: This committee is charged with policy development and advocacy efforts regarding public and private sector reimbursement methodology and payment for psychiatric treatment provided in/by inpatient and other non-office settings (e.g., partial hospital, nursing homes, etc.). It undertakes analytic, policy liaison and educational activities on behalf of the CHSF and the JRC, respecting those issues which are of major concern to the APA (e.g., prospective payment for inpatient psychiatric care under Medicare, PPS for partial hospitalization programs, etc.
  Composition: Standard committee composition. The committee is not authorized to meet in person, except at the APA Annual Meeting. History: Established March 1999 under the Council on Healthcare Systems and Financing; combined with Committee on Prospective Payment Issues March, 2000; restructured May 2002.

AWARDS

Frank J. Menolascino Award for Psychiatric Services for Persons with Intellectual Developmental Disorders and Developmental Disabilities History:

HISTORY

Re-established May 2009, the Council on Healthcare Systems and Finance subsumed the charges of the former listed components after being sunset in May 2009. Sunset Components: Council on Social Issues & Public Psychiatry (portion), Committee on Managed Care, Committee on Public Funding for Psychiatric Services, Corresponding Committee on Private Practice, Corresponding Committee on Psychiatry in the Workplace, Medicare Advisory Corresponding Committee.

__________________________

CHSF Meeting material