Kyle O’BrienSenior Vice President, Government Relations608-274-1820EMAIL: Kyle O’Brien
WHA provides advocacy leadership with policymakers to increase resources for hospitals through Medicaid and Medicare, allowing hospitals to sustain and expand access to critical services. On a biennial basis, the Governor and Wisconsin legislature consider a state budget and standalone legislation impacting how hospitals and healthcare providers are reimbursed by Medicaid. WHA advocates with members of Congress and federal agencies, like the Centers for Medicare and Medicaid Services, on recent topics impacting resources available to hospitals including 340B, Medicare outpatient hospital service policies and policies impacting network adequacy and hospital billing.
Over 200,000 low-to-middle income Wisconsin residents depend on subsidized individual health insurance coverage on the exchange. WHA advocates at both the state and federal levels to enact policies that improve choice, competition and affordability in Wisconsin’s individual insurance marketplace, which includes plans offered through the exchange. A recent example of this policy leadership includes achieving bipartisan support in 2017 and again in 2019 for the Wisconsin Healthcare Stability Plan, a state-level reinsurance program created through the CMS 1332 waiver process that has reduced premiums in the individual market for the 2019 and 2020 plan years.