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The Effects of Medicare Advantage on Rural Hospitals With St. Bernards Healthcare
Half of all Medicare beneficiaries get their benefits through Medicare Advantage (MA) plans, which are offered by private companies and in theory should provide the same level of coverage of traditional Medicare.
New AHA report highlights mounting financial challenges for hospitals
The AHA May 2 released a new report highlighting how hospitals and health systems continue to experience significant financial pressures that challenge their ability to provide 24/7 care for patients and communities.
AHA Advertorial: Is UnitedHealth Group ‘Too Big to Fail’?
UnitedHealth Group’s concentration in the healthcare system is unprecedented. If it were a country, it would rank 42 in the world in Gross Domestic Product.
Health Plan Accountability: June 2022 Update
The latest news on health plan accountability from the AHA for June 2022.
Health Plan Accountability: November 2022 Update
The latest news on health plan accountability from the AHA for November 2022.
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.
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 Response to Employee Retirement Income Security Act (ERISA) RFI
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 adjudication systems.
AHA shares recommendations with House Budget Committee task force
Responding to a request for stakeholder input, AHA shared (LINK) with the House Budget Committee Health Care Task Force its recommendations to make health care more affordable without compromising access to high quality care.