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Commercial health insurer CEOs testify on health care affordability; AHA submits statements for House hearings
The House Energy and Commerce Subcommittee on Health and Ways and Means Committee Jan. 22 hosted hearings on health care affordability that included testimony from leaders of five major commercial health insurers: Stephen Hemsley, CEO of UnitedHealth Group, David Joyner, chairman and CEO of CVS Health, Gail Boudreaux, president and CEO of Elevance Health, David Cordani, president, CEO and chairman of the board of The Cigna Group, and Paul Markovich, president and CEO of Ascendiun. Both hearings focused on rising health care costs and access challenges under commercial coverage. The AHA shared statements with both committees that discussed the current landscape of affordability and how the insurance market has driven health care costs upward.
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.
HHS announces initiative with insurers to streamline prior authorizations
The Department of Health and Human Services June 23 announced an initiative coordinated with multiple health insurance companies to streamline prior authorization processes for patients covered by Medicare Advantage, Medicaid managed care plans, Health Insurance Marketplace plans and commercial plans.
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.