Commercial Insurer Accountability
Like individuals and families across America, hospitals and health systems are dealing with the difficult challenges of high inflation and ongoing effects of the pandemic.
Delaying and denying authorizations for medically necessary care. Forcing patients to try potentially ineffective treatments through step therapy, or “fail first” protocols that require patients to try and fail certain treatments before the insurer will authorize more costly treatments.
Today AHA released a report showing that commercial insurance costs are increasing at an unsustainable rate while many plan policies create dangerous delays in care, contribute to clinician burnout and significantly drive up administrative costs for the health care system.
The AHA today released a new report highlighting numerous commercial health insurer policies that compromise patient safety and raise costs.
The cost of commercial insurance is increasing at an unsustainable rate — squeezing individuals and families, employers, and public programs. The average family insurance premium has increased 47% over the past 11 years — faster than general inflation and more than any other part of the health care…
America’s hospitals and health systems are facing a crisis: a tsunami of financial challenges that are exerting tremendous pressure on their ability to deliver care.
AHA today launched a members-only resource bringing together the latest information and AHA efforts to hold health plans accountable
The latest news on health plan accountability from the AHA for June 2022.
AHA today urged the FTC to scrutinize commercial health plans that steer patients to third-party specialty pharmacies in which they have a financial interest.
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…