Reform
The WSMA believes that any health care reform must include an effective
public health system. (Res C-8, A-08)
The WSMA considers restoration and improvement of our primary care system
one of its highest priorities legislatively, with insurance companies, and
in support of the system changes needed toward this end. (Res A-13, A-08)
The WSMA promotes data use policies that reflect confidentiality
standards, case mix, and quality and not just resource consumption.
(Reaffirmed A-23)
The WSMA supports legislation or regulation that requires uniform public
disclosure of each Certified Health Plan's administrative costs as a
percentage of premium, services covered and provided by whom, utilization
review processes, and consumer participation requirements. (Amended A-23)
The WSMA supports legislation that requires Certified Health Plans to use
uniform provider credentialing and recredentialing forms. (Amended A-23)
The WSMA supports legislation or regulation that would require Certified
Health Plans to disclose to physicians the individual within the CHP who
is reviewing their work, including the individual's name and credentials,
and that CHPs be held proportionately responsible for their utilization
review decisions. (Amended A-23)
The WSMA supports legislation or regulation that would mandate that any
reviews, accreditation or licensing surveys conducted within the state of
Washington be accomplished at the same time and that uniform standards
should be applied. (Reaffirmed A-23)
Return to the WSMA Policy Compendium index
Abbreviations for House of Delegates report origination:
EC – Executive Committee; BT – Board of Trustees; CPA – Council on
Professional Affairs; JC – Judicial Council; CHS – Community and Health
Services