Lawmakers and regulators should increase their oversight of commercial health plans and enact fair and patient-friendly reforms, writes AHA President and CEO Rick Pollack in an advertorial published today in the Wall Street Journal. 

“Major commercial insurers have implemented a number of policies that compromise patient care, access and safety,” he writes. “These include frequent changes to coverage, limited provider networks, delays in authorizing treatment and failure to pay providers in a timely manner. … These policies blindside patients and put their health at risk. They also add billions of dollars in added costs to the health care system and contribute to clinician burnout.”

For example, the advertorial highlights recent AHA efforts to prevent UnitedHealthcare from retroactively denying coverage for some emergency department care and Anthem from delaying payments to hospitals, and support for bipartisan legislation to require Medicare Advantage plans to approve coverage for care in a timely manner and policies to protect patient access to specialty drugs. 

Related News Articles

Headline
The Department of Health and Human Services and the Centers for Medicare & Medicaid Services Aug. 21 announced the creation of a Healthcare Advisory…
Headline
The Centers for Medicare & Medicaid Services today announced a nationwide initiative aimed at reinforcing eligibility standards for Medicaid and the…
Headline
The Centers for Medicare & Medicaid Services has issued the 2025-2026 Medicaid Managed Care Rate Development Guide for states to use when setting managed…
Headline
The AHA on Aug. 14 at 1 p.m. ET will host a webinar on age-friendly health systems and how they can strengthen care delivery. Adam Koontz, senior director of…
Headline
The Senate Appropriations Committee July 31 advanced the fiscal year 2026 appropriations bill for the Departments of Labor, Health and Human Services,…
Perspective
House members are back in their districts for the August recess and senators are likely to return to their states soon.While lawmakers are home, it’s important…