Sens. Ben Cardin (D-MD) and Claire McCaskill (D-MO) this week asked Health and Human Secretary Alex Azar and Labor Secretary Alexander Acosta to review whether Anthem or any other health plan’s emergency department coverage policies violate the prudent layperson standard. “As you know, patients must be able to seek emergency care without fearing their health insurance company will require prior authorization or deny their claims,” the senators wrote. “Patients should never be in a position of correctly diagnosing their specific emergency medical condition before seeking professional medical help.” In a letter to Anthem this week, AHA and other hospital groups expressed “serious concerns that Anthem's coverage policies for outpatient imaging and emergency care services are detrimental to patients, diminishing access to care and driving care location based on the lowest cost provider.”
Two weeks ago, I wrote about the
Insights and Analysis
Robyn Begley, AHA senior vice president and chief nursing officer and CEO of the American Organization for Nursing Leadership, encourages hospital leaders to…
John O’Brien will soon depart his position as senior advisor for drug pricing reform.
The AHA yesterday voiced support for the Competitive Health Insurance Reform Act (H.R. 1418/S. 350), legislation that would repeal the antitrust exemption…
The AHA today voiced support for the Improving Seniors’ Timely Access to Care Act (H.R. 3107), bipartisan legislation that would establish requirements for the…
Thomas Jefferson once said: “We in America do not have government by the majority. We have government by the majority who participate.”