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Health Plan Accountability Update - June 2025
HHS announces initiative with insurers to streamline prior authorizations.
TAKE ACTION: Contact Your Representative Ahead of Jan. 22 House Hearings Focused on Commercial Health Insurers’ Role in Health Care Affordability
Please contact your representative prior to the Jan. 22 House hearings to share with them how some commercial insurer policies and practices delay, deny and disrupt care for patients.
AHA Statement to House E&C Subcommittee for Hearing on Lowering Health Care Costs
The following statement highlights what hospitals, clinicians, and patients are experiencing on the ground — and why commercial insurer practices are playing a growing role in driving up costs, creating delays and undermining affordability.
AHA Statement to House W&M Committee for Hearing with Health Insurance CEOs
This statement highlights what hospitals, clinicians, and patients are experiencing on the ground — and why commercial insurer practices are playing a growing role in driving up costs, creating delays and undermining affordability.
Should You Automate to Resolve Health Claim Denials?
Absent commercial health insurance companies fulfilling a recent promise to reform their prior authorization (PA) and claims-paying behaviors, what can hospitals and health systems do to combat increasing claim denials and their growing threat to clinical and financial sustainability?
Health Plan Accountability Update: July 2023
CMS released a final rule that would increase oversight of Medicare Advantage plans and better align them with Traditional Medicare.
Health Plan Accountability Update - October 2024
CMS released a new complaint process for providers seeking assistance from the agency in resolving Medicare Advantage claims issues.
Health Plan Accountability: June 2022 Update
The latest news on health plan accountability from the AHA for June 2022.