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Health Plan Accountability Update - June 2025
HHS announces initiative with insurers to streamline prior authorizations.
HHS announces initiative with insurers to streamline prior authorizations
The Department of Health and Human Services June 23 announced an initiative coordinated with multiple health insurance companies to streamline prior authorization processes for patients covered by Medicare Advantage, Medicaid managed care plans, Health Insurance Marketplace plans and commercial plans.
Health Plan Accountability Update - October 2024
CMS released a new complaint process for providers seeking assistance from the agency in resolving Medicare Advantage claims issues.
Health Plan Accountability Update: July 2023
CMS released a final rule that would increase oversight of Medicare Advantage plans and better align them with Traditional Medicare.
AHA releases first health care plan accountability update for 2025
The AHA today released its Health Care Plan Accountability Update, covering the latest developments in Medicar
AHA brief urges court to oppose motion by MultiPlan to end antitrust case
The AHA March 10 filed a friend-of-the-court brief in the U.S. District Court for the Northern District of Illinois, urging the court to oppose a motion by data analytics firm MultiPlan to dismiss claims that the company conspired with insurers to reduce out-of-network reimbursements for hospitals and health systems.
Health Care Plan Accountability Update - December 2024
The Centers for Medicare & Medicaid Services Nov. 26 proposed changes to the Medicare Advantage and prescription drug programs for contract year 2026.
AHA discusses impact of vertical integration on health care providers
The AHA today participated in a panel discussion during a conference hosted by The Capitol Forum on the impact of insurer vertical integration.
OIG warns of marketing schemes in certain MA programs
The Department of Health and Human Services Office of Inspector General yesterday issued an