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."

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The House Education and Workforce Committee May 21 unanimously passed the Transparency in Billing Act (H.R. 8684). The bill would require off-campus hospital…
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A KFF analysis published May 19 examined early indicators of how the expiration of the enhanced premium tax credits has impacted effectuated enrollment levels…
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The Centers for Medicare & Medicaid Services May 15 released its 2027 final standards for the health insurance marketplaces, including the issuers and…
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…