Commercial Insurer Accountability
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.
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.
America’s hospitals and health systems have deep concerns about several Anthem policies that challenge their ability to care for patients during the COVID-19 global pandemic.
UnitedHealth Group and/or its affiliates will pay over $13 million to resolve federal, state and private litigation alleging violations of federal and state mental health parity laws, according to court filings in New York.
As urged by the AHA, UnitedHealthcare delayed indefinitely a policy that would have required in-network, freestanding and outpatient laboratory claims to contain a laboratory-specific, unique code for the overwhelming majority of laboratory testing services, in addition to the standard Current…
The AHA’s opposition to UnitedHealthcare’s now-delayed policy on emergency coverage was picked up by the media and was mentioned in numerous publications, including The New York Times, USA Today, Modern Healthcare, Minneapolis Star Tribune, as well as a local TV interview with AHA President and CEO…
Just days ago, UnitedHealthcare announced a new policy that threatened to deny some patient claims for emergency services starting July 1 if the insurer determined that the patient didn’t need emergency-level care.
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 statement on UnitedHealthcare announcement of delay in emergency coverage Policy from President and CEO Rick Pollack.
After concerns raised by the AHA and other health groups, UnitedHealthcare today announced that it would delay until the end of the COVID-19 public health emergency its recently-announced policy that would have retroactively denied coverage for emergency department claims the insurer deemed non-…