Commercial Insurer Accountability
AHA filed a friend-of-the-court brief urging the U.S. Court of Appeals for the 9th Circuit to affirm a federal jury’s unanimous 2022 verdict in favor of Sutter Health and certain affiliates in a lawsuit that alleged the California-based integrated health care network violated federal antitrust law…
High inflation and labor shortages, as well as sicker patients who require complex care, and low reimbursement rates combined with continued fallout from a global pandemic have created an unsustainable financial situation for hospitals and health systems around the country. Many face a devastating…
The Centers for Medicare & Medicaid Services (CMS) Dec. 12 issued a proposed rule that would implement for 2024 the standards governing health insurance issuers and the Health Insurance Marketplaces. In the rule, CMS proposes changes to the qualified health plan (QHP) network adequacy standards…
The Centers for Medicare & Medicaid Services (CMS), proposed new regulations that would streamline and reduce the burden associated with health plan prior authorization processes and improve the electronic exchange of health care information.
The latest news on health plan accountability from the AHA for November 2022.
Two issues that a majority of Americans have agreed on during this election cycle are concerns about the economy and inflation.
AHA today released a new report and infographic showing how some commercial health insurers, including Medicare Advantage plans, can cause dangerous delays in care, undue burden on the health care workforce, and add billions of dollars in unnecessary costs to the health care system
A new report and infographic from the American Hospital Association (AHA) released today highlights how some commercial health insurers apply policies that can cause dangerous delays in care for patients, result in undue burden on health care providers and add billions of dollars in unnecessary…
The AHA today released a number of new materials highlighting how some commercial health insurers, including those that sell Medicare Advantage plans, apply practices that can cause dangerous delays in care, result in undue burden on the health care workforce, and add billions of dollars in…
We are in the open enrollment season for Medicare, the Health Insurance Marketplaces and many private employers, during which hundreds of millions of Americans will select their health plan for the next calendar year. We are increasingly concerned by the conduct of some commercial health insurance…