Health Insurance
The United States Supreme Court rejected the third major challenge to the Affordable Care Act, holding in a 7-2 decision that the challengers did not have 鈥渟tanding,鈥 or the legal right to challenge the portions of the ACA they alleged were unconstitutional.
More than 1 million Americans selecting a 2021 health plan through the federally facilitated marketplace since April 1 will pay $10 or less per month, the Centers for Medicare & Medicaid Services announced.
The AHA鈥檚 opposition to UnitedHealthcare鈥檚 now-delayed policy on emergency coverage was picked up by the media and was mentioned in numerous publications, including The New York Times, USA Today, Modern Healthcare, Minneapolis Star Tribune, as well as a local TV interview with AHA President and CEO鈥
Just days ago, UnitedHealthcare announced a new policy that threatened to deny some patient claims for emergency services starting July 1 if the insurer determined that the patient didn鈥檛 need emergency-level care.
After concerns raised by the AHA and other health groups, UnitedHealthcare delayed plans to deny coverage for emergency department claims the insurer deems non-emergent. The policy was to take effect July 1.
AHA statement on UnitedHealthcare announcement of delay in emergency coverage Policy from President and CEO Rick Pollack.
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