Commercial Insurer Accountability
AHA July 21 released its quarterly Health Care Plan Accountability Update, featuring the latest news on AHA efforts to hold commercial health insurers accountable for policies that can delay care for patients, burden health care providers and add unnecessary costs to the health care system.
CMS released a final rule that would increase oversight of Medicare Advantage plans and better align them with Traditional Medicare.
Many commercial health insurance policies and practices often disrupt, delay and deny medically necessary care to patients.
Commercial health insurer policies and administrative practices delay patient care, overburden clinicians and add unnecessary costs to the health care system, according to a new poll of health care consumers conducted by the Morning Consult.
Following discussions between the American Hospital Association (AHA) and United Healthcare (UHC), the insurer late yesterday announced a refocused gastroenterology (GI) policy that relies on additional provider education rather than prior authorizations to address the insurer’s concerns about…
One in three inpatient claims submitted by providers to commercial insurers in first- quarter 2023 weren’t paid for over three months and 15% of inpatient and outpatient claims were initially denied, according to data from over 1,800 hospitals and 200,000 physicians analyzed by Crowe Revenue Cycle…
The March 21 Health & Science article “Many Americans — especially those below U.S. poverty level — are buried in hospital bills” missed a major reason that medical debt has increased in our country: the rise of high-deductible and skinny insurance plans that result in larger out-of-pocket…
TOP NEWS
The Senate Health, Education, Labor & Pensions Committee last week held a hearing aptly titled “Examining Health Care Workforce Shortages: Where Do We Go from Here?” Clearly, all of our efforts to inform policymakers and the public about the urgent need to address the workforce challenges have…
The Doximity digital platform for medical professionals has launched a beta version of ChatGPT to help streamline time-sapping administrative tasks like drafting and faxing preauthorizations and appeals letters to insurers.