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Health Plan Accountability Update - June 2025
HHS announces initiative with insurers to streamline prior authorizations.
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.
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.
Who’s Really Driving Physician Acquisitions?
A new AHA analysis of data from LevinPro HC covering nearly 800 physician practice acquisitions between 2019 and 2024, reveals that commercial insurers and corporate entities like Amazon continue to lead acquisitions, with a particular emphasis on acquiring higher-margin, scalable specialties in densely populated markets rather than lower-margin specialties.
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.
AHA Details Legislative Priorities for Congressional Leaders
Hospitals and health systems are experiencing significant financial pressures that challenge their ability to provide 24/7 care for the patients and communities they serve. As Congress begins to focus on its end-of-the-year work, America’s hospitals and health systems respectfully request that you consider the following priorities.
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.
Health Plan Accountability: June 2022 Update
The latest news on health plan accountability from the AHA for June 2022.
New AHA report highlights mounting financial challenges for hospitals
The AHA May 2 released a new report highlighting how hospitals and health systems continue to experience significant financial pressures that challenge their ability to provide 24/7 care for patients and communities.