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The Effects of Medicare Advantage on Rural Hospitals With St. Bernards Healthcare
Half of all Medicare beneficiaries get their benefits through Medicare Advantage (MA) plans, which are offered by private companies and in theory should provide the same level of coverage of traditional Medicare.
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.
Healthcare Equality Network sends letter to CMS on claims denials by commercial insurers
The Healthcare Equality Network July 3 sent a letter to the Centers for Medicare & Medicaid Services, expressing concerns about claims denials by commercial insurance companies.
HHS Deputy Secretary Palm discusses Change Healthcare attack and future of cybersecurity
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 cybersecurity looks like in the future.
AHA podcast: The Effects of Medicare Advantage on Rural Hospitals With St. Bernards Healthcare
Chris Barber, president and CEO of St. Bernards Healthcare, discusses the problems certain MA plan practices can create for patients and their caregivers, especially for rural hospitals and health systems that face a unique set of challenges in caring for their communities.
AHA Amicus Brief Challenges MultiPlan, Inc. Motion to Dismiss Antitrust Litigation
Commercial insurance reimbursements comprise the majority of many hospitals’ revenue. Moreover, because government programs like Medicare do not cover the costs of providing care, commercial reimbursements can be the difference between losing money, breaking even, or earning a sustainable margin.
AHA Advertorial: Is UnitedHealth Group ‘Too Big to Fail’?
UnitedHealth Group’s concentration in the healthcare system is unprecedented. If it were a country, it would rank 42 in the world in Gross Domestic Product.
Speaking Up for Priorities That Will Help Hospitals Advance Health for Patients and Communities
It is important to use the August recess that begins next week as an opportunity to engage senators and representatives while they are back home. It is critical for federal lawmakers to understand the challenges hospitals and health systems face.
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.
Skyrocketing Hospital Administrative Costs, Burdensome Commercial Insurer Policies Impacting Patient Care
Between 2022 and 2023, care denials increased an average of 20.2% and 55.7% for commercial and Medicare Advantage (MA) claims, respectively.