Commercial Insurer Accountability

This statement highlights what hospitals, clinicians, and patients are experiencing on the ground — and why commercial insurer practices are playing a growing role in driving up costs, creating delays and undermining affordability.
The following statement highlights what hospitals, clinicians, and patients are experiencing on the ground — and why commercial insurer practices are playing a growing role in driving up costs, creating delays and undermining affordability.
Every year tens of millions of Americans dig deep into their pocketbooks to pay for health insurance plans that will cover both preventive and necessary care for individuals and families.
Please contact your representative prior to the Jan. 22 House hearings to share with them how some commercial insurer policies and practices delay, deny and disrupt care for patients.
The AHA Dec. 17 urged Elevance Health, which is the parent company of the Anthem brand of health plans, to rescind Anthem’s nonparticipating provider policy that is set to go into effect Jan. 1, citing the harm it will inflict on patients.
A new AHA analysis of data from LevinPro HC covering nearly 800 physician practice acquisitions between 2019 and 2024, reveals that commercial insurers and corporate entities like Amazon continue to lead acquisitions, with a particular emphasis on acquiring higher-margin, scalable specialties in…
Absent commercial health insurance companies fulfilling a recent promise to reform their prior authorization (PA) and claims-paying behaviors, what can hospitals and health systems do to combat increasing claim denials and their growing threat to clinical and financial sustainability?
“Trust but verify” is a phrase often associated with President Reagan and the need to ensure that treaties enacted with the Soviet Union were being upheld.
AHA supports the Administrations role in facilitating the health insurer pledge to reform prior authorization processes announced on June 23.
America’s hospitals and health systems are deeply concerned about Aetna’s recently announced “level of severity inpatient payment” policy.