HAP Member VALUE Report

You, the Pennsylvania hospital community, outlined your priorities, and HAP worked with you during 2019 to pursue them, achieving the deliverables outlined here—and helping you build stronger, healthier communities.

This report captures key elements of HAP’s value. Not documented are the many unnecessary or downright unhelpful laws and regulations that might have surfaced without HAP’s careful, measured explanations about potential unintended consequences.

Behind every accomplishment realized is the networking and discussion—or debate—with hospital leaders and clinical experts that informs strategy and benefits you as well as HAP.

HAP has delivered this member value with less financial dependence on membership. Historically, membership dues represented at least 70 percent of HAP’s annual budget. During 2019, only 38 percent of HAP’s budget came from those dues.

January, 2020



$700 million in total net benefit from QCA

Funding from Medicaid modernization resulted in improved payments in FY 2018–2019 for hospital care delivered to beneficiaries.

Tobacco settlement saved for health care

HAP’s advocacy protected $64 million in uncompensated care and extraordinary expense payments for FY 2019–2020—as well as millions more for health research and tobacco prevention and cessation programs.

$70.9 million for supplemental payments

Trauma and OB/NICU payments were fully funded; funding for burn units and critical access hospitals increased by $2.4 million in the FY 2019–2020 state budget.

Medicaid DSH Relief

HAP pushed successfully to delay impending Medicaid DSH cuts of $242 million in the federal allotment for Pennsylvania hospitals serving our most vulnerable populations.

$57 million in payments for sepsis care

A HAP-led education effort helped hospitals avoid insurers’ claims downgrades and secure appropriate payment for sepsis care provided. 


Access to Care, Better Population Health

Protection for ACA coverage

HAP opposed federal policy initiatives that would weaken ACA coverage provisions and supported state efforts to strengthen Pennsylvania’s Health Insurance Marketplace, create a state-based exchange, and establish a reinsurance program.

A new payment model for rural health

Five hospitals began piloting the Rural Health Model, designed with HAP’s support and input to improve the predictability and stability of hospital finances through annual global all-payor hospital budgets and promote transformation.

$30 million in incentives to improve access to opioid use disorder treatment

HAP helped hospitals take advantage of $30 million in incentives to establish clinical pathways for connecting patients to treatment. Additionally, HAP’s Opioid Learning Action Network, funded by a $500,000 grant from Bloomberg Philanthropies, is helping 124 participating hospitals adopt evidenced-based practices to prevent overdoses and help patients recover. 

HealthChoices contracting that meets the needs of patients

HAP convinced DHS to consider payor practices—prior authorization, observation downgrades, value-based payment standardization, and sharing claims data—in the HealthChoices procurement process.

Health Care Workforce

Strong public support for better workplace safety

Impassioned advocacy by hospital employees who shared their experiences with patient violence, and 4,700 Healthy Me PA community member emails to elected officials, spurred action on bills to make physical violence against health care workers a felony assault and protect employees’ identities by removing last names from hospital ID badges.

A roadmap for the future

Hospital leaders served on HAP’s Health Care Talent Taskforce and developed an in-depth report outlining health care workforce needs and recommendations for action.



Healthy Me PA activated

The digital community of 156,165 sent 8,129 emails to elected officials advocating for the protection of tobacco settlement dollars, a state study of mental health capacity, and workplace safety.

Targeted telemedicine advocacy

1,640 unique calls to legislative offices expressing support for telemedicine legislation.

Independent expenditure

HAP resources helped elect a Superior Court Judge who understands health care issues and supports key hospital priorities.



Q3 Health Innovation Partners

Multi-state joint venture selected for federal quality program

Q3 Health Innovation Partners (Q3HIP), a joint effort by HAP and New Jersey and Ohio hospital associations, qualified to be a Network of Quality Improvement and Innovation Contractor (NQIIC). This positions Q3HIP to receive future federal funding and operate multistate quality collaboratives.

$1.2 million in HIIN bridge funding

CMS provided additional funding for HAP’s Hospital Improvement Innovation Network (HIIN) to support continued collaborative hospital patient safety and quality efforts during the transition to NQIIC.

Leaders in organ donation engagement

Pennsylvania was recognized for being the nation’s leader in hospital participation by HRSA’s Workplace Partnership for Life Hospital Organ Donation Campaign.



Emergency Preparedness

$6 million to build a collaborative statewide infrastructure

HAP was selected by state government to fund and support seven regional health care preparedness coalitions and specialized work around highly infectious disease. Participation by providers increased by more than 20 percent in 2019.

The nation’s first automated bed availability registry

Pennsylvania is the first state to have an automated bed availability registry to aid in the deployment of resources during emergencies. 



$1 million in new revenue across 12 states

HAPevolve delivered health care solutions and consulting nationwide and strengthened an important HAP non-dues revenue stream. The portfolio of partner solutions has grown to 21 partners.

60 percent of members using endorsed partners

A majority of HAP members gained valuable services and savings from HAPevolve partners to optimize supply chain, and improve hospital finances, staffing, and patient access.


Looking Forward

Legislation on deck for 2020

Bills to improve workplace safety, require coverage and reimbursement for telemedicine, and reform insurers’ prior authorization practices await final enactment.

Progress on behavioral health

Legislation supported by HAP directing a study of Pennsylvania’s behavioral health capacity sets the stage for public and stakeholder discussion and potential governmental action. The study will be released mid-year.

Easing regulatory log jams

For issues ranging from hospital licensure to physician credentialing and licensing, HAP helped members by intervening with state agencies to alleviate backlogs and streamline the processing of licensure applications. HAP will continue to work with government partners to reduce the delays and remove roadblocks that are harming operations and restricting patient access.

A solid foundation for Medicaid advocacy

Research completed during 2019 will strengthen future advocacy for fair Medicaid payments. Based on 2016 data, Medicaid paid Pennsylvania hospitals only 81.1 percent of the cost of providing care to beneficiaries, resulting in a $1.2 billion shortfall.

HAP also has begun work to validate and improve transparency around DHS encounter data, which plays an important role in hospital QCA payments.

Data to drive population health

Hospitals need timely access to insurers’ claims-level data to understand and improve patients’ health care utilization and outcomes. HAP has engaged in a multi-pronged strategy to pursue a multidisciplinary, statewide task force and explore legislative options. 


Want to learn more about HAP’s value to you?

Contact HAP President and CEO Andy Carter for more information.