Commercial Insurer Accountability
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.
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.
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.
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.
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.
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.
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.
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.
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…
The AHA’s opposition to UnitedHealthcare’s now-delayed policy on emergency coverage was picked up by the media and was mentioned in numerous publications, including The New York Times, USA Today, Modern Healthcare, Minneapolis Star Tribune, as well as a local TV interview with AHA President and CEO…