The White House this week announced plans to improve health insurance for consumers, with a particular focus on easing claims and appeals processes. In a letter to health insurance CEOs, the Secretaries of Health and Human Services and Labor urged insurers to streamline their claims and appeals processes and provide clear information about health coverage, among other recommendations. 

"When people want to reach customer service for help, they can encounter inaccurate or confusing websites, extended wait times, or narrow call center hours that force them to step away from work to talk to an agent," the secretaries said. "Online websites can also be out-of-date, hard to navigate, and lack critical information about in-network clinicians or facilities, or an individual’s specific coverage, such as current prescription drug formularies. Individuals also find it difficult to understand their rights for appealing coverage denials or errors and where and how to make such appeals. This frustration is widespread and has serious consequences." 

The Office of Personnel Management, which administers health benefits for federal employees, retirees and postal workers, also announced plans to simplify its plans’ claims and appeals processes.

Related News Articles

Headline
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…
Headline
The American Medical Association Dec. 16 released its latest annual report on health insurance competition, finding that 97% of commercial markets were highly…
Headline
Approximately 950,000 consumers who currently do not have health insurance coverage through the federally facilitated Health Insurance Marketplace have signed…
Headline
The Senate today failed to pass legislation to address health care affordability. The chamber first voted on a Republican-backed bill that failed by a 51-…
Headline
The Centers for Medicare & Medicaid Services released a bulletin Nov. 18 summarizing provisions from the budget reconciliation bill related to Medicaid and…
Headline
Aetna’s new “level of severity inpatient payment” policy is now set to take effect Jan. 1, 2026, the company recently announced, along with providing…