This session provides an in depth look at hospital reimbursement, including Medicare, Medicaid, and other essential payment structures. Speakers will also share updates on state and federal policy changes and discuss how these shifts influence hospital financial operations. Attendees will gain practical insights to better navigate the evolving reimbursement landscape and support the long term financial stability of their organizations.
Registration Pricing
Member: $75
Non-Member: $125
Registration includes unlimited connections per registered facility.
Who should watch:
Hospital and health system board members, trustees of rural and community hospitals, executive leadership teams, chief executive officers, chief financial officers, finance committee members, reimbursement and revenue cycle leaders, government relations and policy professionals, compliance and risk management professionals, governance professionals and board liaisons, and policymakers involved in health care finance, reimbursement, and Medicaid or Medicare policy.
Learning Objectives:
- Describe the major hospital reimbursement methodologies, including Medicaid, Traditional Medicare, Medicare Advantage, commercial insurance, and supplemental payment programs.
- Differentiate among key Medicaid payment structures, including base payments, directed payment programs, supplemental payments, and the role of the Texas 1115 Waiver in hospital financing.
- Explain how Medicare reimbursement systems operate, including prospective payment systems, cost-based reimbursement, and the financial implications of Medicare Advantage plans.
- Assess the impact of emerging state and federal policy changes on hospital financial performance, including Medicaid reforms, directed payment program changes, and rural health funding initiatives.
- Apply reimbursement and policy knowledge to support board-level financial oversight and long-term organizational sustainability.
Continuing Education:
American College of Healthcare Executives
By attending the 2026 Advanced Hospital Finance Webinar, offered by Texas Healthcare Trustees, participants may earn up to 1.0 ACHE Qualified Education Hours toward initial certification or recertification of the Fellow of the American College of Healthcare Executives (FACHE) designation.
Certified Healthcare Trustees and Leaders Education
The Texas Healthcare Trustees designates this continuing certified healthcare trustee and leader education activity for up to 1.0 contact hours. For more information about the CHTL program, please contact THT at 512-465-1015.
Speakers

Anna Stelter, Vice President of Policy, Texas Hospital Association, Austin
Anna Stelter, LMSW, MPH, is the Vice President of Policy Analysis for the Texas Hospital Association, where she monitors health care financing and quality issues and supports the Association’s public policy activities related to hospital payments. Before joining THA in January 2021, Anna was a public health policy analyst at Texas Medical Association, leading the association’s child health and behavioral health policy activities. She also coordinated the Texas Public Health Coalition, a legislative coalition of 30 public health and health care organizations whose priorities included immunizations, tobacco and e-cigarette use, funding for essential public health services, maternal health, and chronic disease prevention.

Matt Turner, Ph.D., Senior Director of Quality and Payment, Texas Hospital Association, Austin
Matt Turner is the Senior Director, Health Care Policy at Texas Hospital Association, where he monitors Medicare and private insurance payments to hospitals, as well as state and federal quality programs affecting hospitals. Prior to joining THA, Matt spent nearly a decade at the Texas Department of State Health Services where he was most recently the Director of the Agency Analytics Unit. He earned a Master of Public Health from UTHealth Houston and a doctorate in medical anthropology from Southern Methodist University.