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. "According to a KFF analysis, insurance companies, on average, deny 1 in 5 claims, with one insurer rejecting 49 percent and another rejecting a shocking 80 percent," the group wrote. "This problem extends to Medicare Advantage plans, which were created to offer more choice and comprehensive benefits and now cover more than half of all Medicare beneficiaries but are now inundated with prior authorization requirements and coverage denials."

Perspective
Public
Approximately 35 million Americans are enrolled in Medicare Advantage plans in 2026, and that number is expected to grow to about 45 million MA enrollees by…
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A blog by Noah Isserman, AHA director of health insurance and coverage policy, explains why Anthem’s nonparticipating provider policy limits patients’ …
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Patients are best served when insurers act as transparent and reasonable partners, not when they invoke patient protection laws to justify payment strategies…
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The AHA shared the following statement with the media in response to a report released May 7 by Families USA.   “This report is long on rhetoric and…
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The AHA May 7 wrote to House and Senate lawmakers in support of the Medicare Advantage Improvement Act (H.R. 8375/S. 4384), bipartisan and bicameral…
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The AHA today submitted comments on the Centers for Medicare & Medicaid Services’ proposed revisions to Medicare Advantage and Part D reporting…