Commercial Insurer Accountability
Certain commercial health insurer policies and administrative practices delay patient care, overburden clinicians and withhold critical payments from providers.
This report documents the American Hospital Association’s (AHA) findings related specifically to prior authorization and payment delays and denials. This work is informed by two large surveys of hospitals, as well as interviews and group discussions with hundreds of hospital and health system…
The market for pharmacy benefit manager services is highly concentrated, with commercial insurers often sharing ownership in the PBM, according to the analysis.
Speakers share updates on AHA efforts to address unfair commercial health insurance practices and orient participants with a new tool to help hospitals identify opportunities to reduce operational challenges — the Insurer Watch dashboard, powered by the AHA Vitality Index™.
The Congressional Budget Office (CBO) recently released a paper that includes several policy options ostensibly intended to reduce health insurance premiums.
Forty-six days from now on Nov. 8 millions of Americans will cast their ballots and exercise their most sacred right – the right to vote.
In medical care, prior authorization was originally intended to ensure patients received appropriate care that was in line with tested methodologies. Today, “prior authorization” has become a dreaded term…often signaling delayed care and undue financial burdens posed to patients and care providers…
America’s hospitals and health systems continue to deal with the difficult challenges of high inflation and ongoing effects of the COVID-19 pandemic. Specifically, hospitals are facing significant increases in costs of labor from workforce shortages, drugs, equipment and supplies (including food…
Some commercial insurer policies may hurt patients, contribute to clinician burnout and drive up the cost of care, AHA President and CEO Rick Pollack notes in an advertorial published today in the Wall Street Journal.
Hospitals and health systems recognize the importance of commercial health insurance, which millions of Americans rely on to receive coverage. Unfortunately, some commercial insurer policies may hurt patients, contribute to clinician burnout and drive up the cost of care.