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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.
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.
Working to Ensure Commercial Health Insurers Do Their Part to Support Patient Care
Every year tens of millions of Americans dig deep into their pocketbooks to pay for health insurance plans that will cover both preventive and necessary care for individuals and families.
White House releases health care plan
The White House released a health care plan Jan. 15 addressing drug prices, health insurance premiums and price transparency efforts.
Health Plan Accountability Update: October 2025
The AHA May 29 submitted a letter to the Centers for Medicare & Medicaid Services responding to a request for information regarding Medicare Advantage data, urging CMS to increase oversight of the program.
Health Plan Accountability Update - June 2025
HHS announces initiative with insurers to streamline prior authorizations.
AHA urges Elevance Health to rescind Anthem’s ‘Nonparticipating Provider Policy,’ citing harm to patient care access
The AHA Dec. 17 urged Elevance Health, which is the parent company of the Anthem brand of health plans, to rescind Anthem’s nonparticipating provider policy that is set to go into effect Jan. 1, citing the harm it will inflict on patients.