Insurance and Healthcare Reform Committee

Updated June, 2016

Purpose/Function:
The Insurance and Healthcare Reform Committee shall present ideas for CAMFT to consider for implementation on ways to approach insurance companies and managed care plans with issues affecting the membership and/or the mental health field without violating antitrust laws.

The Insurance and Healthcare Reform Committee is prohibited from doing the following:

  • Engaging in discussions or agreements about professional fees, fee policies, pricing methods, or any other issues concerning fees.
  • Engaging in discussions or agreements about managed care reimbursement rates. ? Engaging in discussions or agreements about managed care reimbursement rates and managed care contract terms related to reimbursement rates.
  • Engaging in discussions or agreements about a boycott of managed care plans, termination of managed care plan contracts, or collective appeals to managed care plans. ? Engaging in discussions or agreements about the retention or refusal to deal with other providers, businesses, or vendors.
  • Engaging in discussions or agreements about division of markets, territories, clients, or practice areas.

Composition:
The Insurance and Healthcare Reform Committee shall be comprised of a no less than three (3) and up to five (5) members, a majority of whom shall be clinical members and one of whom shall be a member of the CAMFT Board of Directors. All Committee members shall have been members of the Association for at least two (2) years prior to appointment. A chair of the Committee shall be elected by the Committee members. Diversity in committee composition is desired.

Term:
Committee members are appointed by and serve at the pleasure of the CAMFT Board of Directors for a term of one (1) year. A member may serve as Chair for up to two (2) years, if re-appointed.

Meetings:
The Insurance and Healthcare Reform Committee shall meet up to two (2) times a year, via tele/video conference.

Responsibilities:

  • Knowledge of and experience with managed care organizations
  • Understanding of Anti-Trust law
  • Committee members are required to sign: Committee Member Participation Agreement, Conflict of Interest Policy, Anti-Trust Compliance Policy, and Consent to Electronic Transmission

CAMFT Committees