Reimbursement
The WSMA encourages insurance companies and businesses in the state of
Washington to provide reimbursement for medical services designed to
prevent morbidity and mortality. (Res 15, C-88) (Reaffirmed A-23)
The WSMA advocates for reimbursement for all professional services,
including communication services, provided through physicians’ practices.
(Res B-2, A-00) (Reaffirmed A-23)
The WSMA, in order to ensure equitable reimbursement for women and
minority-owned practices, and for small practices in general, supports
legislation that would direct the OIC to study systemic bias in insurance
company reimbursement of minority and women-owned practices and provide a
report that includes recommendations to address the issue in the
legislature. (B-16, A-20)
The WSMA supports efforts to persuade the legislature to pass a statute
requiring insurance companies to reimburse outpatient diabetes
self-management education and care which could be delivered safely and
less expensively than an inpatient setting. (Res A-89) (Reaffirmed A-23)
The WSMA supports requiring payers to reimburse for diabetes prevention,
lifestyle modification programs, and community health workers to
incentivize early interventions. (Res C-18, A-18) (Reaffirmed A-24)
The WSMA advocate for legislative, regulatory, and policy changes that
will result in commercial payers recognizing and reimbursing the G2211
add-on code. (B-15, A-24)
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