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. "These changes in coverage rules lack transparency for patients and providers, discourage patients from seeking appropriate and timely treatment, inappropriately place Anthem between patients and their clinicians, and make material – out of cycle – changes to existing contracts between insurers and hospitals," wrote AHA, America's Essential Hospitals, Association of American Medical Colleges, Catholic Health Association of the United States, Federation of American Hospitals, Premier healthcare alliance and Vizient, Inc. "We urge Anthem to retract these policies and work with our organizations to ensure your members receive the high-quality care they deserve."
 

Headline
The Health and Human Services Secretary July 29 announced that dozens of insurers, medical societies, healthcare providers and behavioral health…
Headline
An AHA blog published July 28 highlights new electronic prior authorization requirements that begin Jan. 1, 2027, as a result of the Centers for Medicare…
Blog
As major provisions of the 2024 Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization final rule take effect next year,…
Headline
The Department of Labor July 22 released a proposed rule to modernize how group health plans deliver required disclosures. The proposal would create a safe…
Headline
The U.S. District Court for the District of Maryland July 16 enjoined eight provisions from the Centers for Medicare & Medicaid Services’ 2027 notice of…
Headline
The Centers for Medicare & Medicaid Services July 16 released draft guidance for the 2028 cycle of negotiations under the Medicare Drug Price Negotiation…