As an EDPMA organization, our employees are able to participate in committees that provide them contacts and make their jobs easier. Brault is able to reach out to EDPMA members across the nation and gather critical information within hours of new announcements by payers or noticing new payer behavior. Our providers meet similar groups at Solutions Summit and take away best practice. This is the Organization to belong to.

In an ever-changing payor and reimbursement world, EDPMA has been an invaluable resource for our group. From lobbying for balanced billing, to out-of-network payment standards, to bad payor behaviors such as non- emergent diagnosis denials, EDPMA continues to be the preeminent organization in protecting emergency medicine reimbursement.

We joined EDPMA as an organization after several years of considering the potential benefits. After doing so, it became immediately apparent that we should have done so years ago. The education, networking, and participation benefits have economically far exceeded our membership expense. We have been given the opportunity to actually influence policy that protects and benefits EM as a whole and helps secure our position in the marketplace.

EDPMA along with its coalition partners has been successful in defeating out of network (OON) balance billing prohibitions in numerous states. This likely avoided significant reductions in commercial payor revenue in these states. EDPMA also helped lead the development of a solution to the OON conundrum that removes the patient from the reimbursement disputes with health plans and provides fair coverage for emergency services.

As a result of EDPMA’s advocacy efforts reversing the Medicaid down coding policy in Kansas, Vituity expects to recover over $130,000. The policy change also avoids future losses that would have occurred if the policy was not
rescinded. EDPMA membership is worth several times the amount Vituity has paid in dues.

EDPMA is an extremely nimble and responsive organization.  We utilize significant decision makers in each member organization, and routinely mobilize effective, large scale responses to burning issues and emerging concerns that affect emergency medicine care.