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AHA releases first health care plan accountability update for 2025
The AHA today released its Health Care Plan Accountability Update, covering the latest developments in Medicar
AHA brief urges court to oppose motion by MultiPlan to end antitrust case
The AHA March 10 filed a friend-of-the-court brief in the U.S. District Court for the Northern District of Illinois, urging the court to oppose a motion by data analytics firm MultiPlan to dismiss claims that the company conspired with insurers to reduce out-of-network reimbursements for hospitals and health systems.
AHA discusses impact of vertical integration on health care providers
The AHA today participated in a panel discussion during a conference hosted by The Capitol Forum on the impact of insurer vertical integration.
OIG warns of marketing schemes in certain MA programs
The Department of Health and Human Services Office of Inspector General yesterday issued an
Court issues preliminary approval of $2.8 billion Blue Cross Blue Shield provider settlement
A $2.8 billion settlement from Blue Cross Blue Shield to health care providers resolving a 12-year antitrust lawsuit received
AHA releases latest Health Care Plan Accountability Update
The AHA Oct. 17 released its Health Care Plan Accountability Update, covering the latest developments in Medicare Advantage, legislation and regulation of private health insurers, as well as other resources from the last quarter.
AHA podcast: Clinical Validation Audits and the Impact on Hospitals and Health Systems
Clinical validation audits are a new tactic that certain commercial insurers are adopting to reduce or deny payment to health care providers and can take months or even years to be adjudicated and resolved.
House Education and Workforce Committee holds hearing on contracting provisions, telehealth legislation
The House Education and Workforce Committee advanced several bills today, including legislation that would empower commercial insurance companies at the expense of patients and a bill that would ban facility fees for telehealth visits.
Report: Skyrocketing hospital administrative costs, burdensome commercial insurer policies affecting patient care
Hospitals and health systems are seeing significant increases in administrative costs, including due to burdensome practices by commercial insurers that often delay and deny care for patients, according to a new report released Sept. 10 by the AHA.
Report highlights unforeseen health care bills and coverage denials by commercial insurers
A Commonwealth Fund report published Aug. 1 examines how frequently insured, working-age adults are denied care by insurers; how often they are billed for services they believed were covered; and their experiences challenging such bills or care denials. The report shows that 45% of insured, working-age adults reported receiving a medical bill or being charged a copayment in the past year for a service they thought should have been free or covered by their insurance.