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Health Care Plan Accountability Update: March 28, 2024 - July 8, 2024
The AHA May 29 submitted a letter to the Centers for Medicare & Medicaid Services responding to a request for information regarding Medicare Advantage data, urging CMS to increase oversight of the program.
Women’s Health Startup Tia Makes an Impact Treating ‘Medical Orphans’
San Francisco-based Tia launched in 2017 with a vision of reimagining health care with women at the center and helping them to make better decisions about their health. Now, in its first “Women’s Primary Care ‘Plus’ Outcomes Report,” the company shares data about the impact the company is having on its members.
Commercial Insurer Policies That Can Compromise Patient Safety and Raise Costs Must End
Hospitals and health systems recognize the importance of commercial health insurance, which millions of Americans rely on to receive coverage. Unfortunately, some commercial insurer policies may hurt patients, contribute to clinician burnout and drive up the cost of care.
Addressing Commercial Health Plan Challenges to Ensure Fair Coverage for Patients and Providers
This report documents the American Hospital Association’s (AHA) findings related specifically to prior authorization and payment delays and denials. This work is informed by two large surveys of hospitals, as well as interviews and group discussions with hundreds of hospital and health system leaders.