Access & Health Coverage

Thanks to medical advances, patients are increasingly and safely undergoing a broad range of surgical procedures outside hospitals’ traditional four walls. In fact, two of every three surgeries performed by our member hospitals are now done on an outpatient basis. That’s why recent reports of some…
Today’s New York Times provides arguments from drug companies justifying the excessive jump in pharmaceutical prices in recent years, saying the higher prices won’t impact patients. 
Hospitals and health care systems are striving to achieve the Triple Aim—improving the patient experience, improving the health of populations and reducing the cost of health care. To achieve these goals, hospital leaders are designing new care delivery systems. Adoption of these new systems can be…
In 2014, 15.7 million adults suffered from at least one major depressive episode, making it one of the most common behavioral health conditions in the U.S., according to the National Institute of Mental Health. Major depression is also highly treatable once diagnosed, so making that diagnosis is…
The open enrollment period for the 2016 Health Insurance Marketplace ends Jan. 31. America’s hospitals are playing a large part in the nationwide efforts to make the enrollment process easy, accessible and widely available. The results are impressive. The number of Americans without health…
Three states expanded Medicaid eligibility in 2015, and many states improved their Medicaid enrollment and renewal processes and coordination with Health Insurance Marketplaces, according to the latest annual survey by the Kaiser Commission on Medicaid and the Uninsured and Georgetown…
On January 19, CMS, issued new guidance related to certain special enrollment periods available to consumers purchasing coverage on the federal Health Insurance Marketplace.
The Centers for Medicare & Medicaid Services Nov. 20 issued its omnibus proposed rule proposing standards that govern health insurance issuers as well as the Health Insurance Marketplaces for 2017
More than 20 years ago, Congress created the 340B Drug Pricing Program to allow eligible hospitals and health systems to stretch limited resources and expand access to care for vulnerable patients. But despite a proven track record of increasing patient access to vital medical services and…
There is a little-known – but critical – law that helps ensure hospitals are able to care for their communities.  It is a ban on physician self-referral to hospitals in which they have an ownership interest. A permanent ban was put into effect in 2010 and eliminating it would raise the federal…