Health Insurance

AHA sent a letter to the Centers for Medicare & Medicaid Services in response to the proposed rules updating certain rules governing health insurance issuers and the Health Insurance Marketplaces.
The Honorable Chiquita Brooks-LaSure Administrator Centers for Medicare & Medicaid Services Hubert H. Humphrey Building 200 Independence Avenue, S.W., Room 445-G Washington, DC 20201 RE: Patient Protection and Affordable Care Act; Updating Payment Parameters, Section 1332 Waiver Implementing…
Sens. Patrick Leahy, D-Vt., and Steve Daines, R-Mont., who cosponsored legislation that repealed the McCarran-Ferguson antitrust exemption for commercial health insurers, asked the Federal Trade Commission and Department of Justice to update them by Aug. 4 on what their agencies have done to…
Today, UnitedHealth Group announced a jaw-dropping $6 billion in earnings in a single quarter, but not enough has been said about a big contributor to these profits: not paying for health care services, AHA President and CEO Rick Pollack writes in a blog post.
UnitedHealth Group announced a jaw-dropping $6 billion in earnings in a single quarter. But not enough has been said about a big contributor to these profits: not paying for health care services.
Over 1.5 million people selected a 2021 health plan through the federally facilitated marketplace between Feb. 15 and June 30 during the special enrollment period created in response to the COVID-19 emergency, with an additional 600,000 enrolling through the 15 state-based marketplaces, the…
President Biden today signed an executive order (EO) establishing a “whole-of-government” effort to promote competition in the American economy. The EO includes 72 initiatives by more than a dozen federal agencies to tackle competition issues across the economy, including in health care, financial…
The Centers for Medicare & Medicaid Services last week issued a final methodology and data sources necessary to determine federal payment amounts to be made for program year 2022 to states that elect to establish a Basic Health Program under the Affordable Care Act to offer health benefits…
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…
This Special Bulletin summarizes a proposed rule with additional policies for health insurance issuers and the Health Insurance Marketplaces (or “exchanges”) for plan years 2022 and beyond.