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Health Plan Accountability
Commercial health plan abuses must be addressed to ensure fair coverage for patients and providers. The AHA has worked to hold health plans accountable through letters, statements, white papers, member updates and earned media.
ACTION NEEDED: Contact Lawmakers on Important Issues Facing Hospitals and Health Systems
While lawmakers are in their district, it is important for the field to engage with members of Congress to remind them of the importance of preserving access to care by continuing to fund vital programs like telehealth and hospital-at-home waivers, and avoiding harmful policies such as site-neutral payments and Medicaid DSH cuts.
ACTION NEEDED: Talk to Lawmakers this August on Important Issues Facing Hospitals and Health Systems
Lawmakers need to hear how congressional support is necessary to ensure hospitals can provide the 24/7 access to care patients and communities depend on.
ACTION NEEDED: Contact Lawmakers Now on Important Issues Facing Hospitals and Health Systems
Lawmakers have returned to Washington for three weeks to consider government funding, which expires Oct. 1. Congress must pass a continuing resolution (CR) by Sept. 30 to avoid a government shutdown.
AHA Asks Congressional Leadership to Fund Hospitals, Protect Health Care Workers
Before the lame-duck session ends and the 118th Congress adjourns, it is essential that federal lawmakers understand the challenges hospitals and health systems face and what is at stake for the patients and communities they represent.
AHA Urges Congress to Act on Key Priorities in Lame-duck Session
AHA letter urging Congress to act on key priorities in Lame-duck session.
AHA Response to Employee Retirement Income Security Act (ERISA) RFI
Health insurers have gone through dramatic vertical consolidation since ERISA was signed into law. Over the last decade, the major corporate insurers have spent billions of dollars acquiring not only other plans, but also providers, pharmacy service companies, and health technology and claims adjudication systems.
Fact Sheet: Reference-based Pricing
Some employers are moving away from offering traditional coverage with a provider network and instead are using reference-based pricing for some or all of services they cover. Under reference-based pricing, the employer (supported by a third party administrator [TPA] or other vendor) pays a set a price for each health care service instead of negotiating prices with providers.