New Solution Helps to Address Unfair Commercial Health Care Plans

New Solution Helps to Address Unfair Commercial Health Care Plans. A health care executive reviews her hospital's data on denials, reimbursement, and claims processing using the AHA Vitality Index solution.On behalf of its members, the AHA has been tracking commercial health insurance practices that contribute to burnout and make it more difficult for some Americans to access the care they need. A recent white paper released by the AHA highlights the impact that anti-competitive practices and inappropriate delays and denials have had on hospitals and patients. This paper follows a report issued earlier this year that addresses the same topic, and also identifies a number of solutions at the national level to improve oversight and help build a health system that better serves patients and protects clinicians from burdensome health insurance practices that take them away from patient care. To help members reduce the significant operational challenges caused by some of these commercial payer issues, the AHA has also launched a new solution, the AHA Vitality Index.

Gloria Kupferman, AHA’s chief data strategy officer, describes how this new solution gives members access to aggregated, de-identified hospital data with standardized metrics on denials, reimbursement and claims processing to use for analyzing operational and financial efficiency. Read the blog.

A January 26, 2022, AHA webinar will explore how hospitals and health systems can leverage their data to hold payers accountable.

AHA Center for Health Innovation logo

Related Resources

AHA Center for Health Innovation Market Scan
With the effects of COVID-19 expected to continue for some time, providers can expect many of the trends that developed over the past two years to continue.…
AHA Center for Health Innovation Market Scan
The recent release of the Kaiser Family Foundation’s annual employer health benefits survey put data behind a number of trends that surfaced during the…
Issue Landing Page
AHA and CDC, new pilot program to train future health professionals to prevent and control infections through community colleges nationwide.
Webinar Recordings
Fall Preceptorship Session Three: The webinar identifies individual roles for managing the complexities of risk management in health care.
Advancing Health Podcast
Community investment, otherwise known as place-based investment, helps create the social and physical environments that support community health over the long…
AHA Center for Health Innovation Market Scan
Payers and self-insured employers, who cover more than 100 million Americans, have been rapidly developing so-called “virtual-first” health plans. Self-insured…