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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 –
pro...
APA Practice Organization

APA Practice
Organization (c)(6)

APAPO-PAC

Education
Advocacy
Trust

APA (c)(3)
Education Advocacy Trust (EdAT)

Dollars

Revenue

First email fundraiser
for APAPO-PAC
scheduled for March 2014
APAPO Governance

APAPO Board of Directors
Good Governance
Membership retention
and recruitment

Committee for the
Advance...
Financial and Staffing Resources
APAPO and APA Comparison
APA Practice Organization

American Psychological Association

$...
APAPO Mission

The mission of the
APAPO is to advance,
protect and defend
the professional
practice of
psychology.

APAPO ...
Legislative Advocacy

Top Priorities for 2014
• Medicare payment
• Medicare payment formula
• Sustainable Growth Rate (SGR...
Legislative and Regulatory Advocacy

• Working in a partisan Congress
• Recent achievements
– Medicare payment levels for ...
Legal and Regulatory Advocacy

Mental Health Parity Implementation
• Advocacy for more enforceable Final Parity Rule
• Cha...
Legal and Regulatory Advocacy
• Challenges to state health insurance exchange
exclusion of neuropsychologists and inapprop...
Marketplace Advocacy

Aetna/Ingenix
settlement
Preliminary
approval by court

• Alternative practice
models
• Incorporatio...
Serving our Members

Major legal and regulatory issues:
• HIPAA and
privacy/confidentiality/security
• Record keeping, inc...
Guidance on HIPAA Compliance
HIPAA Final Rule Changes
• Effective September 2013
• APAPO provided general guidance documen...
Marketplace Advocacy

Health Care Reform Implementation
Theme of 2014 State Leadership Conference

Health Insurance
Exchan...
Health Care Reform Summits
2011
New York State Psychological Association
Massachusetts Psychological Association
Maryland...
Most Highly Sought Information (Q15)
2013 Member Survey: Most Highly Sought Information
Percent of respondents who answere...
Most ImportantSurvey: Most Important Activities
2013 Member APAPO Activities (Q25)
Percent of respondents who answered “ex...
Member Communications

Keeping Practitioners Informed
• Good Practice magazine
• PracticeUpdate e-newsletter
• Practice Ce...
Serving SPTAs: Annual CAPP Grants

• Funding level maintained for 2013
• Organizational development, legislative,
emergenc...
Serving SPTAs: 2013 CAPP Grant Examples
Georgia
• Pursuing efforts to defend scope of practice regarding
psychological ass...
If Not APAPO, Who Else?
• Challenging Medicare and private sector payment cuts
• Supporting litigation and regulatory acti...
APAPO Good Governance

Proposed change in CAPP responsibilities

Join us during APAPO lunch for further
dialogue
Contact APAPO

Email: practice@apa.org

Practitioner Helpline: 1-800-374-2723
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2014 APA Practice Organization Report to the APA Council

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2014 APA Practice Organization Report to the APA Council

  1. 1. 2014 APAPO Report to the APA Council Katherine C. Nordal, PhD
  2. 2. 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
  3. 3. APA Practice Organization APA Practice Organization (c)(6) APAPO-PAC Education Advocacy Trust APA (c)(3)
  4. 4. Education Advocacy Trust (EdAT) Dollars Revenue First email fundraiser for APAPO-PAC scheduled for March 2014
  5. 5. APAPO Governance APAPO Board of Directors Good Governance Membership retention and recruitment Committee for the Advancement of Professional Practice (CAPP) Finance
  6. 6. Financial and Staffing Resources APAPO and APA Comparison APA Practice Organization American Psychological Association $4.67M $104.88M 2013 Operating Expenses 14.1 Full-Time-Equivalent Employees 2013 Operating Expenses 569.6 Full-Time-Equivalent Employees
  7. 7. APAPO Mission The mission of the APAPO is to advance, protect and defend the professional practice of psychology. APAPO is dedicated to serving the interests and needs of its constituents: APA members who pay the annual Practice Assessment to APAPO.
  8. 8. 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
  9. 9. Legislative and Regulatory Advocacy • Working in a partisan Congress • Recent achievements – Medicare payment levels for 2014 – Sustainable Growth Rate (SGR) bill
  10. 10. Legal and Regulatory Advocacy Mental Health Parity Implementation • Advocacy for more enforceable Final Parity Rule • Challenges to rate cuts and reimbursement of new billing codes used by psychologists • Transparency of medical necessity criteria
  11. 11. 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
  12. 12. Marketplace Advocacy Aetna/Ingenix settlement Preliminary approval by court • Alternative practice models • Incorporation with other health care professionals • Medicaid advocacy • Hospital medical staff membership
  13. 13. 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
  14. 14. 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
  15. 15. Marketplace Advocacy Health Care Reform Implementation Theme of 2014 State Leadership Conference Health Insurance Exchange rollout Federally operated exchange Federal and state joint exchange State operated exchange State small business health option program
  16. 16. Health Care Reform Summits 2011 New York State Psychological Association Massachusetts Psychological Association Maryland Psychological Association  2012 North Carolina Psychological Association Idaho Psychological Association Maine Psychological Association California Psychological Association Indiana Psychological Association Oregon Psychological Association Washington State Psychological Association  2013 Connecticut Psychological Association Wisconsin Psychological Association Nevada Psychological Association Minnesota Psychological Association South Carolina Psychological Association Rhode Island Psychological Association Ohio Psychological Association Oklahoma Psychological Association Vermont Psychological Association
  17. 17. Most Highly Sought Information (Q15) 2013 Member Survey: Most Highly Sought Information Percent of respondents who answered “extremely interested” or “interested” 2013 Legal updates Regulatory compliance (HIPAA, other) Psychology-related news Legislative updates ICD code usage Information on latest treatment procedures and models Fact sheets/handouts for clients Information on working with Medicare/Medicaid 89.7% 86.5 85.1 82.4 80.8 80.2 73.2 58.4
  18. 18. Most ImportantSurvey: Most Important Activities 2013 Member APAPO Activities (Q25) Percent of respondents who answered “extremely important” or “important” Protecting reimbursement for psychological services 98% Legislative advocacy efforts 97 Educating the public about psychologists and psychological services 89.9 Raising psychology’s visibility in the marketplace Helping states protect the doctoral degree as the standard for psychologist licensure 89.2 87.8
  19. 19. Member Communications Keeping Practitioners Informed • Good Practice magazine • PracticeUpdate e-newsletter • Practice Central website: www.apapracticecentral.org
  20. 20. Serving SPTAs: Annual CAPP Grants • Funding level maintained for 2013 • Organizational development, legislative, emergency and Canadian • $250,000 awarded in organizational development grants to 26 states and DC • $185,000 awarded in legislative grants to 13 states
  21. 21. Serving SPTAs: 2013 CAPP Grant Examples Georgia • Pursuing efforts to defend scope of practice regarding psychological assessment. Kentucky • Ensuring parity in private insurance and Medicaid. 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.
  22. 22. 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 MEMBER SUPPORT IS VITAL FOR SUSTAINING OUR ADVOCACY
  23. 23. APAPO Good Governance Proposed change in CAPP responsibilities Join us during APAPO lunch for further dialogue
  24. 24. Contact APAPO Email: practice@apa.org Practitioner Helpline: 1-800-374-2723

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