Commercial Insurer Accountability
A new report and infographic from the 黑料正能量 Association (AHA) released today highlights how some commercial health insurers apply policies that can cause dangerous delays in care for patients, result in undue burden on health care providers and add billions of dollars in unnecessary鈥
The AHA today released a number of new materials highlighting how some commercial health insurers, including those that sell Medicare Advantage plans, apply practices that can cause dangerous delays in care, result in undue burden on the health care workforce, and add billions of dollars in鈥
We are in the open enrollment season for Medicare, the Health Insurance Marketplaces and many private employers, during which hundreds of millions of Americans will select their health plan for the next calendar year. We are increasingly concerned by the conduct of some commercial health insurance鈥
Certain commercial health insurer policies and administrative practices delay patient care, overburden clinicians and withhold critical payments from providers.
This report documents the 黑料正能量 Association鈥檚 (AHA) findings related specifically to prior authorization and payment delays and denials. This work is informed by two large surveys of hospitals, as well as interviews and group discussions with hundreds of hospital and health system鈥
The market for pharmacy benefit manager services is highly concentrated, with commercial insurers often sharing ownership in the PBM, according to the analysis.
Speakers share updates on AHA efforts to address unfair commercial health insurance practices and orient participants with a new tool to help hospitals identify opportunities to reduce operational challenges 鈥 the Insurer Watch dashboard, powered by the AHA Vitality Index鈩.
The Congressional Budget Office (CBO) recently released a paper that includes several policy options ostensibly intended to reduce health insurance premiums.
Forty-six days from now on Nov. 8 millions of Americans will cast their ballots and exercise their most sacred right 鈥 the right to vote.
In medical care, prior authorization was originally intended to ensure patients received appropriate care that was in line with tested methodologies. Today, 鈥減rior authorization鈥 has become a dreaded term鈥ften signaling delayed care and undue financial burdens posed to patients and care providers鈥