Health Insurance
After concerns raised by the AHA and other health groups, UnitedHealthcare today announced that it would delay until the end of the COVID-19 public health emergency its recently-announced policy that would have retroactively denied coverage for emergency department claims the insurer deemed non-鈥
AHA urged UnitedHealthcare to reverse its decision to retroactively deny coverage effective July 1 for emergency department claims the insurer deems non-emergent.
America鈥檚 hospitals and health systems are deeply concerned by UnitedHealthcare鈥檚 (UHC) recent policy announcement to allow for the retroactive denial of coverage for emergency-level care in facilities. This policy would put patients鈥 health and wellbeing in jeopardy, and we urge you to reverse the鈥
Some employers are moving away from offering traditional coverage with a provider network and instead are using reference-based pricing for some or all of services they cover. Under reference-based pricing, the employer (supported by a third party administrator [TPA] or other vendor) pays a set a鈥
The AHA expresses concern to UnitedHealthcare regarding its recent policy announcement to allow for the retroactive denial of coverage for emergency-level care in facilities.
The AHA and the National Independent Laboratory Association today flagged for the National Association of Insurance Commissioners deeply concerning actions by UnitedHealthcare to implement a 鈥渕isleading鈥 new benefit plan design.
AHA and the National Independent Laboratory Association flagged for the National Association of Insurance Commissioners deeply concerning actions by UnitedHealthcare to implement a 鈥渕isleading鈥 new benefit plan design that will limit access to needed laboratory services.
Just over 528,000 people selected a 2021 health plan through the federally facilitated marketplace between Feb. 15 and March 31 during the special enrollment period created in response to the COVID-19 emergency, the Centers for Medicare & Medicaid Services reported today.
The availability of swift, accurate and reliable diagnostic testing during the public health emergency has been extremely important.
The AHA and American Society of Health-System Pharmacists urge the Food and Drug Administration to take appropriate enforcement action to protect patients from a payer-mandated drug distribution model known as 鈥渨hite bagging.鈥