Health Insurance
Escalating costs associated with managing their own practice coupled with burdensome insurer policies and regulatory requirements are some of the factors driving physicians to seek employment in other practice settings, according to a new report released by the AHA.
Following discussions between the American Hospital Association and United Healthcare, the insurer announced May 31 a refocused gastroenterology policy that relies on additional provider education rather than prior authorizations to address the insurer’s concerns about possible overutilization.
The share of uninsured Americans fell 0.8 percentage point in 2022 to 8.4%, the Centers for Disease Control and Prevention reported this week. That’s about 2.4 million fewer uninsured people than a year ago.
The AHA, joined by the Federation of American Hospitals, Catholic Health Association of the United States, America’s Essential Hospitals, and Association of American Medical Colleges, yesterday urged the U.S. Court of Appeals for the 5th Circuit to keep in place pending appeal an Affordable Care…
A new AHIP report makes baseless claims that hospitals drive up specialty drug costs when in fact insurance companies drive up profits by steering patients to their own specialty pharmacies, write AHA’s Mark Howell, director of policy and patient safety, and Bharath Krishnamurthy, director of…
The Centers for Medicare & Medicaid Services released its standards for qualified health plans offered through the health insurance marketplaces for 2024. CMS finalized with limited exceptions its proposal to require all plans (regardless of marketplace type) to comply with network adequacy and…
The Department of Health and Human Services plans this month to propose amending the definition of “lawful presence” for purposes of Medicaid and Affordable Care Act coverage to allow undocumented immigrants in the Deferred Action for Childhood Arrivals program, also known as “Dreamers,” to apply…
As the COVID-19 public health emergency’s continuous coverage requirement ends and states redetermine eligibility for Medicaid and Children’s Health Insurance Program enrollees, the Department of Health and Human Services’ Office for Civil Rights yesterday reminded state health officials of their…
A recent Washington Post article on medical debt “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 expenses for consumers,” writes AHA President and CEO Rick Pollack in a letter to the…
The AHA and the Federation of American Hospitals are urging Congress to oppose the Patient Access to Higher Quality Care Act (H.R. 977/S.470) and any other proposals that would allow unfettered growth of physician-owned hospitals, citing new data