AHA today released a new report and infographic showing how some commercial health insurers, including Medicare Advantage plans, can cause dangerous delays in care, undue burden on the health care workforce, and add billions of dollars in unnecessary costs to the health care system. Based on a survey of hospitals and health systems, the report includes real-life examples of how inappropriate actions by some health insurers have impacted patients and their health care providers, in addition to policy recommendations to curtail them. In a letter today, AHA urged the departments of Health and Human Services and Labor to take additional steps to ensure adequate oversight of commercial health plans this open enrollment season.

“Individuals and families should feel assured that the plan they choose during open enrollment will actually be there for them when they need care,” AHA wrote.

Access the report, letter and other resources here.

Related News Articles

Headline
A KFF survey published today found that people view prior authorization as the biggest challenge beyond costs when navigating the health care system. In terms…
Headline
A KFF analysis released Jan. 28 found that Medicare Advantage insurers made nearly 53 million prior authorization determinations in 2024, an increase…
Headline
The Centers for Medicare & Medicaid Services Jan. 26 released proposed changes to Medicare Advantage plan capitation rates and Part D payment policies for…
Headline
The AHA Jan. 26 released a white paper on addressing challenges in implementing an advanced explanation of benefits, which requires coordination among multiple…
Headline
The AHA Jan. 26 expressed support and provided its perspective on certain provisions within the Centers for Medicare & Medicaid Services’ proposed…
Headline
The House Energy and Commerce Subcommittee on Health and Ways and Means Committee Jan. 22 hosted hearings on health care affordability that included…