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Working to Ensure Commercial Health Insurers Do Their Part to Support Patient Care
Every year tens of millions of Americans dig deep into their pocketbooks to pay for health insurance plans that will cover both preventive and necessary care for individuals and families.
TAKE ACTION: Contact Your Representative Ahead of Jan. 22 House Hearings Focused on Commercial Health Insurers’ Role in Health Care Affordability
Please contact your representative prior to the Jan. 22 House hearings to share with them how some commercial insurer policies and practices delay, deny and disrupt care for patients.
Health Plan Accountability
Commercial health plan abuses must be addressed to ensure fair coverage for patients and providers. The AHA has worked to hold health plans accountable through letters, statements, white papers and member updates.
Health Plan Accountability Update - June 2025
HHS announces initiative with insurers to streamline prior authorizations.
AHA urges Elevance Health to rescind Anthem’s ‘Nonparticipating Provider Policy,’ citing harm to patient care access
The AHA Dec. 17 urged Elevance Health, which is the parent company of the Anthem brand of health plans, to rescind Anthem’s nonparticipating provider policy that is set to go into effect Jan. 1, citing the harm it will inflict on patients.
Who’s Really Driving Physician Acquisitions?
A new AHA analysis of data from LevinPro HC covering nearly 800 physician practice acquisitions between 2019 and 2024, reveals that commercial insurers and corporate entities like Amazon continue to lead acquisitions, with a particular emphasis on acquiring higher-margin, scalable specialties in densely populated markets rather than lower-margin specialties.
Should You Automate to Resolve Health Claim Denials?
Absent commercial health insurance companies fulfilling a recent promise to reform their prior authorization (PA) and claims-paying behaviors, what can hospitals and health systems do to combat increasing claim denials and their growing threat to clinical and financial sustainability?
Holding Commercial Health Insurers Accountable
“Trust but verify” is a phrase often associated with President Reagan and the need to ensure that treaties enacted with the Soviet Union were being upheld.
AHA Supports Administration Facilitating Health Insurer Pledge to Reform Prior Authorization
AHA supports the Administrations role in facilitating the health insurer pledge to reform prior authorization processes announced on June 23.
AHA Urges Aetna to Rescind Level of Severity Inpatient Payment Policy
America’s hospitals and health systems are deeply concerned about Aetna’s recently announced “level of severity inpatient payment” policy.