Health Insurance
The Department of Health and Human Services鈥 Officer for Civil Rights yesterday announced that Anthem has agreed to pay $16 million and take corrective action to settle potential violations of the Health Insurance Portability and Accountability Act after a series of cyberattacks led to the largest鈥
The American College of Emergency Physicians and Medical Association of Georgia this week filed a federal lawsuit seeking to compel Anthem's Blue Cross Blue Shield of Georgia to rescind a policy that retroactively denies coverage for emergency patients.
Hospitals continue to have serious concerns that Anthem's coverage policies for outpatient imaging and emergency care services are detrimental to patients, diminishing access to care and driving care location based on the lowest cost provider, AHA and other hospitals groups told the insurer today.
AHA, others express concerns that Anthem鈥檚 coverage policies for outpatient imaging and emergency care services are detrimental to patients, diminishing access to care and driving care
location based on the lowest cost provider.
Anthem last week notified network providers in Missouri, Kentucky and Georgia about changes to its program to prevent 鈥渁voidable鈥 emergency department visits.
The AHA supports the revised definition of a 鈥減lan,鈥 which better distinguishes between a plan and a product line.
AHA urges the Centers for Medicare & Medicaid Services (CMS) to issue an Interim Final Rule (IFR) with comment period requiring that qualified health plans (QHPs) offered through the Health Insurance Marketplaces accept third-party premium and cost-sharing payments from hospitals, hospital-鈥
Essential access is about more than providing needed medical care 鈥 it is about how and to whom those services are provided. While traditional funding for these services is crumbling, demand for these services continues to increase as the number of uninsured grows.