Health Insurance
The departments of Health and Human Services, Labor, and the Treasury May 1 released a new process for resubmitting disputes under the No Surprises Act independent dispute resolution process that were originally improperly batched or bundled.
The Department of Labor April 29 rescinded a 2018 final rule that modified the definition of “employer” under federal law such that more individuals, including sole proprietors, were eligible to participate in association health plans based on geography or industry.
Department of Health and Human Services Deputy Secretary Andrea Palm addressed AHA Annual Membership Meeting attendees about the Administration’s work to improve access to care and increase the number of people with health insurance, as well as the Change Healthcare cyberattack and what…
In a statement submitted April 16 to the House Committee on Education and the Workforce Subcommittee on Health, Employment, Labor, and Pensions for a hearing on ways to strengthen the Employee Retirement Income Security Act, AHA urged Congress to prevent commercial insurer practices that harm…
After an April 7 investigative series published by The New York Times highlighted disturbing incentives for data analytics firm MultiPlan and large commercial insurers like UnitedHealthcare, Aetna and Cigna to cut reimbursement rates for care provided to employees of companies with self-funded…
The American Hospital Association (AHA) writes regarding a recent The New York Times investigation into the disturbing incentives for data analytics firm, MultiPlan, and large commercial insurers like UnitedHealthcare, Aetna and Cigna, to cut reimbursement rates for care provided to employees of…
The Centers for Medicare & Medicaid Services (CMS) April 2 released its standards for qualified health plans (QHPs) offered through the health insurance marketplaces for 2025. Beginning in plan year 2025.
The Centers for Medicare & Medicaid Services April 2 released its final rule for qualified health plans offered through the health insurance marketplaces for 2025. Beginning in plan year 2025, CMS will require plans participating in state-based marketplaces to comply with time and distance…
The high cost to health care providers to obtain reimbursement from insurers shows no signs of abating. A recent report from the group purchasing and consulting organization Premier highlights the long-standing problem.
The AHA March 29 released its Health Care Plan Accountability Update, covering the latest developments in Medicare Advantage, legislation and regulation of private health insurers, as well as other resources from the last quarter.