OTHER PAYERS AND PROGRAMS

Hospitals interact with dozens of third-party payers, programs, reimbursement systems and management reports not otherwise included in the major categories of the OHA Finance Web pages.

This section focuses on the Ohio Bureau of Workers' Compensation, CHAMPUS/TRICARE, the OHA Health Insurance Corporation (HIC) Performance Report and other medical benefits and health care coverage and payment plans.

OHA does not generally report on services covered under contractual arrangements between health care providers and major commercial insurers, but there will be occasional coverage of breaking events or important topics on them in the News section of this page.

NEWS

4/18/2008:: OHA this week issued a Member Bulletin with a detailed analysis of the Healthcare Simplification Act (House Bill 125), which will take effect June 25 OHA supports the bill and will continue advocating for stronger most favored nation clause statutes.

4/07/2008:: The Internal Revenue Service released draft instructions and worksheets for Form 990, to be used by tax-exempt organizations. Schedule H and other schedules tax-exempt organizations must use are included. Comments are due June 1. The new form takes effect for the 2008 tax year, with the first returns to be filed in 2009. OHA is analyzing the draft instructions and will issue an overview soon.

4/01/2008::  The Department of Defense (DoD) will transition the TRICARE outpatient hospital reimbursement system to one modeled on the Medicare Hospital Outpatient Prospective Payment System. A proposed rule was released today that  calls for comments by June 2. No effective date is indicated. TRICARE is not planning to use the Medicare Outpatient Code Editor (OCE) in its bill processing, nor will it adopt Medicare outpatient beneficiary cost share amounts.