Commercial Insurer Accountability

May 10, 2022
To help members address the impact of payer prior authorization and payment delays and denials, as well as anticompetitive practices, on patients and provider organizations, the AHA has launched AHA Vitality Index™. Learn how this dashboard supplies the commercial payer transparency that hospitals…
Apr 29, 2022
Policymakers should strengthen Medicare payment rates rather than hold them up as the gold standard, argues Benjamin Finder, AHA’s director of policy research and analysis.
Nov 23, 2021
To help members reduce the significant operational challenges caused by some of these commercial payer issues, the AHA has also launched a new solution, the AHA Vitality Index.
Oct 21, 2021
A recent AHA survey of hospitals and health systems found that 89% of respondents experienced an increase in payment denials over the past three years, and 51% reported experiencing a “significant” increase in denials.
Oct 8, 2021
Hospitals and health systems put the health and welfare of their patients first. For some of the nation’s largest commercial health insurers, unfortunately, that is not always the case.
Oct 5, 2021
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.
Oct 5, 2021
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.
Sep 9, 2021
America’s hospitals and health systems have deep concerns about several Anthem policies that challenge their ability to care for patients during the COVID-19 global pandemic.
Aug 12, 2021
UnitedHealth Group and/or its affiliates will pay over $13 million to resolve federal, state and private litigation alleging violations of federal and state mental health parity laws, according to court filings in New York.
Jul 1, 2021
As urged by the AHA, UnitedHealthcare delayed indefinitely a policy that would have required in-network, freestanding and outpatient laboratory claims to contain a laboratory-specific, unique code for the overwhelming majority of laboratory testing services, in addition to the standard Current…