Commercial Insurer Accountability

Dec 7, 2022
The Centers for Medicare & Medicaid Services (CMS), proposed new regulations that would streamline and reduce the burden associated with health plan prior authorization processes and improve the electronic exchange of health care information.
Nov 7, 2022
Two issues that a majority of Americans have agreed on during this election cycle are concerns about the economy and inflation.
Nov 2, 2022
AHA today released a new report and infographic showing how some commercial health insurers, including Medicare Advantage plans, can cause dangerous delays in care, undue burden on the health care workforce, and add billions of dollars in unnecessary costs to the health care system
Nov 2, 2022
A new report and infographic from the American Hospital Association (AHA) released today highlights how some commercial health insurers apply policies that can cause dangerous delays in care for patients, result in undue burden on health care providers and add billions of dollars in unnecessary…
Nov 2, 2022
The AHA today released a number of new materials highlighting how some commercial health insurers, including those that sell Medicare Advantage plans, apply practices that can cause dangerous delays in care, result in undue burden on the health care workforce, and add billions of dollars in…
Nov 1, 2022
We are in the open enrollment season for Medicare, the Health Insurance Marketplaces and many private employers, during which hundreds of millions of Americans will select their health plan for the next calendar year. We are increasingly concerned by the conduct of some commercial health insurance…
Nov 1, 2022
Certain commercial health insurer policies and administrative practices delay patient care, overburden clinicians and withhold critical payments from providers.
Nov 1, 2022
This report documents the American Hospital Association’s (AHA) findings related specifically to prior authorization and payment delays and denials. This work is informed by two large surveys of hospitals, as well as interviews and group discussions with hundreds of hospital and health system…
Oct 13, 2022
The market for pharmacy benefit manager services is highly concentrated, with commercial insurers often sharing ownership in the PBM, according to the analysis.