Commercial Insurer Accountability
The AHA expresses concern to UnitedHealthcare regarding its recent policy announcement to allow for the retroactive denial of coverage for emergency-level care in facilities.
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.
Letter to Centers for Medicare & Medicaid Services, expressing deep concerns regarding a series of UnitedHealthcare health plan coverage policies.
UnitedHealthcare has delayed from April 1, 2021, until Jan. 1, 2022, its requirement that certain in-network laboratories report their unique laboratory-specific codes along with other information for the overwhelming majority of freestanding and outpatient laboratory testing services.
The AHA today urged UnitedHealthcare to forgo a new coverage policy for laboratory tests that the association believes is burdensome and negatively impacts patients’ access to care.
This letter expresses AHA’s concern about a forthcoming UnitedHealthcare change in coverage policy for laboratory test services.
UnitedHealth Group will accelerate nearly $2 billion in claims payments to U.S. health care providers under its fully insured commercial, Medicare Advantage and Medicaid businesses to address short-term financial pressure caused by the COVID-19 emergency, UnitedHealthcare and Optum announced.
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…
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.
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.