Anthem, the country’s second-biggest health insurance company, is behind on billions of dollars in payments owed to hospitals and doctors because of onerous new reimbursement rules, computer problems and mishandled claims, says a Kaiser Health News article that is spotlighted in USA Today. The article features comments from AHA President and CEO Rick Pollack and AHA Group Vice President of Policy Molly Smith. 

Last month, AHA, in a letter to Anthem’s CEO, urged the organization to reverse policies that challenge hospitals’ and health systems’ ability to care for patients. These include frequent changes to enrollees’ coverage, delays in patient care resulting from excessive prior authorization requirements and growing failure to pay claims in a timely manner.   

“Patients are facing greater hurdles to accessing care; clinicians are burning out on unnecessary administrative tasks; and the system is straining to finance the personnel and supplies needed to meet the demands of a surging fourth COVID-19 wave,” the AHA wrote Sept. 9. 
 

Related News Articles

Headline
The AHA Jan. 27 voiced support for the Centers for Medicare & Medicaid Services proposed rule on policy and technical changes to Medicare Advantage and…
Headline
The Centers for Medicare & Medicaid Services Jan. 17 announced a record 24.2 million consumers selected health coverage through the Health Insurance…
Headline
The Centers for Medicare & Medicaid Services Jan. 13 released its standards for the health insurance marketplaces for 2026, including the issuers and…
Headline
The Centers for Medicare & Medicaid Services will host a webinar Jan. 16 at 1 p.m. ET to provide an update on the No Surprises Act Good Faith Estimate…
Headline
The Centers for Medicare & Medicaid Services Jan. 8 announced 23.6 million consumers have signed up for a 2025 Health Insurance Marketplace plan. Of that…
Headline
The Centers for Medicare & Medicaid Services Dec. 20 announced a record 16.6 million individuals have signed up for federal Health Insurance Marketplace…