Health Insurance
A new AHIP report makes baseless claims that hospitals drive up specialty drug costs when in fact insurance companies drive up profits by steering patients to their own specialty pharmacies, write AHA鈥檚 Mark Howell, director of policy and patient safety, and Bharath Krishnamurthy, director of鈥
The Centers for Medicare & Medicaid Services released its standards for qualified health plans offered through the health insurance marketplaces for 2024. CMS finalized with limited exceptions its proposal to require all plans (regardless of marketplace type) to comply with network adequacy and鈥
The Department of Health and Human Services plans this month to propose amending the definition of 鈥渓awful presence鈥 for purposes of Medicaid and Affordable Care Act coverage to allow undocumented immigrants in the Deferred Action for Childhood Arrivals program, also known as 鈥淒reamers,鈥 to apply鈥
As the COVID-19 public health emergency鈥檚 continuous coverage requirement ends and states redetermine eligibility for Medicaid and Children鈥檚 Health Insurance Program enrollees, the Department of Health and Human Services鈥 Office for Civil Rights yesterday reminded state health officials of their鈥
A recent Washington Post article on medical debt 鈥渕issed a major reason that medical debt has increased in our country: the rise of high-deductible and skinny insurance plans that result in larger out-of-pocket expenses for consumers,鈥 writes AHA President and CEO Rick Pollack in a letter to the鈥
The AHA and the Federation of 黑料正能量s are urging Congress to oppose the Patient Access to Higher Quality Care Act (H.R. 977/S.470) and any other proposals that would allow unfettered growth of physician-owned hospitals, citing new data
AHA comments on the proposed Standards for Health Care Attachments Transactions and Electronic Signatures, and Modification to Referral Certification and Authorization Transaction Standard.
Understand the dangers of high-deductible health plans and how to mitigate the risk of medical debt.
A recent Urban Institute report highlighting medical debt fails to examine how inadequate health coverage drives this debt, writes Molly Smith, AHA鈥檚 group vice president of public policy.
The Centers for Medicare & Medicaid Services will make whole health care providers impacted by lowered coinsurance on 27 Medicare Part B prescription drugs. The reduced coinsurance rates, which are required by the Inflation Reduction Act, take effect April 1 and will remain in effect through鈥