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AHA releases Health Plan Accountability Update

AHA July 21 released its quarterly Health Care Plan Accountability Update, featuring the latest news on AHA efforts to hold commercial health insurers accountable for policies that can delay care for patients, burden health care providers and add unnecessary costs to the health care system.
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Health Plan Accountability Update: July 2023

TOP NEWS

Let’s End Commercial Insurer Barriers that Reduce Access to Care

Many commercial health insurance policies and practices often disrupt, delay and deny medically necessary care to patients.

Patients, clinicians say health insurer policies reduce access to care

Health insurance policies and practices are reducing access to medical care, driving up health care costs and increasing clinician burden and burnout, according to patients and clinicians surveyed by Morning Consult for the AHA.

New Consumer Poll Finds Patients Are Concerned about Commercial Insurer Barriers to Care: Infographic

Commercial health insurer policies and administrative practices delay patient care, overburden clinicians and add unnecessary costs to the health care system, according to a new poll of health care consumers conducted by the Morning Consult.

Administration proposes limit on short-term, limited-duration insurance

The Administration released a proposed rule intended to limit the sale of non-comprehensive health care coverage and promote greater consumer understanding of their coverage options.  

HHS urges governors to use all Medicaid redetermination flexibilities

In a letter to governors, Health and Human Services Secretary Xavier Becerra encouraged states to use all available options (https://www.medicaid.gov/resources-for-states/downloads/state-strategies-to-prevent-procedural-terminations.pdf) to streamline Medicaid and Children’s Health Insurance Program redeterminations and prevent eligible enrollee’s from losing coverage due to procedural issues

New AHA report examines factors driving physician practice acquisition

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.

After discussions with AHA, UnitedHealthcare alters GI policy to preempt care delays and claims denials 

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.
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After Discussions with AHA, UnitedHealthcare Alters GI Policy to Preempt Care Delays and Claims Denials

Following discussions between the American Hospital Association (AHA) and United Healthcare (UHC), the insurer late yesterday announced a refocused gastroenterology (GI) policy that relies on additional provider education rather than prior authorizations to address the insurer’s concerns about possible overutilization. The