Health Insurance

Responding March 15 to a House Committee on Education and the Workforce request for comments on ways to strengthen the Employee Retirement Income Security Act, AHA called for greater oversight of ERISA-regulated insurers to prevent inappropriate care denials, payment delays and self-dealing by…
Health insurers have gone through dramatic vertical consolidation since ERISA was signed into law. Over the last decade, the major corporate insurers have spent billions of dollars acquiring not only other plans, but also providers, pharmacy service companies, and health technology and claims…
People enrolled in Medicare Advantage are more likely than those in traditional Medicare to report delays in care due to needed insurance approvals, according to a survey released Feb. 22 by the Commonwealth Fund, with 13% of traditional Medicare enrollees reporting associated delays compared with…
A record 21.3 million people selected a 2024 health plan through the Health Insurance Marketplaces during the open enrollment period, the Centers for Medicare & Medicaid Services reported Jan. 24.
Senate Finance Committee Chairman Ron Wyden, D-Ore., Jan. 23 asked five third-party marketing organizations that participate in Medicare Advantage enrollment to provide certain information by Jan. 31 about their business practices as the committee continues its inquiry into problematic MA marketing…
Commercial health plan abuses must be addressed to ensure fair coverage for patients and providers. The AHA has worked to hold health plans accountable through letters, statements, white papers, member updates and earned media.
Nearly 20.4 million people selected a 2024 health plan through the federally facilitated and state-based Health Insurance Marketplaces between Nov. 1 and Dec. 23, the Centers for Medicare & Medicaid Services reported Jan. 10.
AHA Jan. 9 filed a friend-of-the-court brief in an antitrust lawsuit filed by AdventHealth last year that alleges insurer MultiPlan conspires with other commercial health insurers that use its repricing tool to reduce what they pay health care providers for out-of-network services.
Commenting Jan. 8 on the Centers for Medicare…
The departments of Health and Human Services, Labor, and the Treasury, along with the Office of Personnel Management, Dec. 22 announced they intend to reopen the period for submitting comments on a proposed rule for new requirements relating to the disclosure of information that group health plans…