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UnitedHealthcare delays emergency department coverage policy
After concerns raised by the AHA and other health groups, UnitedHealthcare delayed plans to deny coverage for emergency department claims the insurer deems non-emergent. The policy was to take effect July 1.
AHA, Others Urge Anthem to Immediately Retract ED Coverage Changes
AHA, others express 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, Others Urge Anthem to Immediately Retract ED Coverage Changes
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.
Emergency Physicians Sue Anthem in Georgia Over ED Policy
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.
Anthem Revises ‘Avoidable’ ED Visit Policy in MO, KY and GA
Anthem last week notified network providers in Missouri, Kentucky and Georgia about changes to its program to prevent “avoidable” emergency department visits.
Anthem pays OCR $16 million in HIPAA settlement
The Department of Health and Human Services’ 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 U.S. health data breach in history and exposed the electronic protected health information of nearly 79 million people.
AHA, NILA Flag Concerning Actions by UnitedHealthcare
AHA and the National Independent Laboratory Association flagged for the National Association of Insurance Commissioners deeply concerning actions by UnitedHealthcare to implement a “misleading” new benefit plan design that will limit access to needed laboratory services.
Article featured in USA Today highlights how policies from Anthem, other commercial health insurers threaten patient care
Anthem, the country’s second-biggest health insurance company, is behind on billions of dollars in payments owed to hospitals and doctors because of onerous new reimbursement rules, computer problems and mishandled claims, says a Kaiser Health News article that is spotlighted in USA Today.
Article Featured in USA Today Highlights How Policies from Anthem, Other Insurers Threaten Patient Care
Anthem, the country’s second-biggest health insurance company, is behind on billions of dollars in payments owed to hospitals and doctors because of onerous new reimbursement rules, computer problems and mishandled claims, says a Kaiser Health News article that is spotlighted in USA Today.
4 Big Moves to Drive Digital Transformation at Your Health System
Hospitals and health systems must move from “doing digital” to “being digital” to compete in a rapidly evolving market. AVIA, a leading digital transformation partner for health systems, designed the “4 big moves” to provide a road map for hospitals and health systems looking to embrace digital and emerge as leaders in health care.