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Health Plan Accountability: November 2022 Update
The latest news on health plan accountability from the AHA for November 2022.
HHS Deputy Secretary Palm discusses Change Healthcare attack and future of cybersecurity
Department of Health and Human Services Deputy Secretary Andrea Palm addressed AHA Annual Membership Meeting attendees about the Administration’s work to improve access to care and increase the number of people with health insurance, as well as the Change Healthcare cyberattack and what cybersecurity looks like in the future.
AHA shares comments with Congress for hearing on strengthening ERISA
In a statement submitted April 16 to the House Committee on Education and the Workforce Subcommittee on Health, Employment, Labor, and Pensions for a hearing on ways to strengthen the Employee Retirement Income Security Act, AHA urged Congress to prevent commercial insurer practices that harm patients and small providers.
Following NYT investigation, AHA urges DOL to investigate actions of MultiPlan and commercial insurers
After an April 7 investigative series published by The New York Times highlighted disturbing incentives for data analytics firm MultiPlan and large commercial insurers like UnitedHealthcare, Aetna and Cigna to cut reimbursement rates for care provided to employees of companies with self-funded employer insurance plans and increase costs for patients receiving that care, the AHA today urged the Department of Labor to take action.
Following NYT Investigation, AHA Urges DOL to Investigate Actions of MultiPlan and Commercial Insurers
The American Hospital Association (AHA) writes regarding a recent The New York Times investigation into the disturbing incentives for data analytics firm, MultiPlan, and large commercial insurers like UnitedHealthcare, Aetna and Cigna, to cut reimbursement rates for care provided to employees of companies with self-funded employer insurance plans and increase costs for patients receiving that care.
CMS Issues Final Notice of Benefit and Payment Parameters for 2025
The Centers for Medicare & Medicaid Services (CMS) April 2 released its standards for qualified health plans (QHPs) offered through the health insurance marketplaces for 2025. Beginning in plan year 2025.
CMS issues notice of benefit and payment parameters for 2025
The Centers for Medicare & Medicaid Services April 2 released its final rule for
Payer Denial Tactics — How to Confront a $20 Billion Problem
The high cost to health care providers to obtain reimbursement from insurers shows no signs of abating. A recent report from the group purchasing and consulting organization Premier highlights the long-standing problem.
AHA releases latest Health Care Plan Accountability Update
The AHA March 29 released its Health Care Plan Accountability Update, covering the latest developments in Medicare Advantage, legislation and regulation of private health insurers, as well as other resources from the last quarter.
CMS extends special enrollment period for persons no longer eligible for Medicaid, CHIP
The Centers for Medicare & Medicaid Services March 28 announced an extension of its temporary Marketplace special enrollment period for those who lost Medicaid or Children’s Health Insurance Program eligibility following the end of the COVID-19 public health emergency continuous coverage period.