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Let’s End Commercial Insurer Barriers that Reduce Access to Care
Many commercial health insurance policies and practices often disrupt, delay and deny medically necessary care to patients.
Survey finds prior authorization viewed as greatest hurdle in navigating health care
A KFF survey published today found that peopl
Analysis: MA insurers made 53 million prior authorization determinations in 2024
A KFF analysis released Jan. 28 found that Medicare Advantage insurers made nearly 53 million prior authorization determinations in 2024, an increase from 49.8 million in 2023.
White paper explains use of mock claims for advanced explanation of benefits
The AHA Jan. 26 released a white paper on addressing challenges in implementing an advanced explanation of benefits, which requires coordination among multiple providers, health plans and IT systems.
The Mock Claim Proposal: A New Approach to Health Care Cost Transparency
The AHA and other stakeholders have proposed a practical and scalable solution: the mock claim proposal.
Commercial health insurer CEOs testify on health care affordability; AHA submits statements for House hearings
The House Energy and Commerce Subcommittee on Health and Ways and Means Committee Jan. 22 hosted hearings on health care affordability that included testimony from leaders of five major commercial health insurers: Stephen Hemsley, CEO of UnitedHealth Group, David Joyner, chairman and CEO of CVS Health, Gail Boudreaux, president and CEO of Elevance Health, David Cordani, president, CEO and chairman of the board of The Cigna Group, and Paul Markovich, president and CEO of Ascendiun. Both hearings focused on rising health care costs and access challenges under commercial coverage. The AHA shared statements with both committees that discussed the current landscape of affordability and how the insurance market has driven health care costs upward.
AHA Statement to House E&C Subcommittee for Hearing on Lowering Health Care Costs
The following statement highlights what hospitals, clinicians, and patients are experiencing on the ground — and why commercial insurer practices are playing a growing role in driving up costs, creating delays and undermining affordability.
Health Care Affordability in the Spotlight; AHA Resources to Assist You
The issue of affordability, including health care affordability, is front and center this year and will be part of this year's congress
AHA Statement to House W&M Committee for Hearing with Health Insurance CEOs
This statement highlights what hospitals, clinicians, and patients are experiencing on the ground — and why commercial insurer practices are playing a growing role in driving up costs, creating delays and undermining affordability.
Walmart Enters New Phase of Its Health Care Relationship with Consumers
Walmart’s strategy is simple: Find ways to help customers save money and live better. With its ever-expanding reach into health care, however, Walmart has entered a new phase by becoming a licensed health insurance broker in an effort to forge stronger bonds with millions of consumers.