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The Case for Automating to Resolve Health Insurance Claims Denials
Automating health care insurance claims management with AI-powered tech can speed denials resolution - TrailBlazers
AHA discusses reimbursement challenges, opportunities for innovation during Modern Healthcare event
Ashley Thompson, AHA senior vice president of public policy analysis and development, participated in a panel discussion during Modern Healthcare's Leadership Summit in Washington, D.C. on Sept. 25.
Advisory on AHA Letter to Aetna on New Inpatient Payment Policy
The AHA today urged Aetna to rescind its recently announced “level of severity inpatient payment” policy, saying that it “could erode the transparency consumers rely on to make informed decisions about their care, undermine important regulatory protections that safeguard patients’ coverage, and jeopardize the ability of hospitals to provide highquality, accessible care to all who need it.”
AHA urges Aetna to rescind ‘level of severity inpatient payment’ policy
The AHA Sept. 15 urged Aetna to rescind its recently announced “level of severity inpatient payment” policy, saying that it “could erode the transparency consumers rely on to make informed decisions about their care, undermine important regulatory protections that safeguard patients’ coverage, and jeopardize the ability of hospitals to provide high-quality, accessible care to all who need it.”
Key Highlights of the Final One Big Beautiful Bill Act
The Senate July 1, and the House July 2, passed a budget reconciliation bill, the One Big Beautiful Bill Act (OBBBA), H.R. 1, a sweeping package that enacts many of President Trump’s legislative priorities on taxes, border security, energy and deficit reduction. The bill includes significant policy changes to Medicaid and the Health Insurance Marketplaces.
When Medicaid Disappears: How Cuts Could Devastate Behavioral Health Care in Rural America
In this conversation, Jon Ulven, Ph.D., behavioral health psychologist and chair of adult psychology at Sanford Health, details the fragile behavioral health landscape in rural America and how Medicaid cuts could deepen gaps in health care access and resources.
CMS Finalizes 2025 Marketplace Integrity and Affordability Rule
The Centers for Medicare & Medicaid Services June 20 finalized its 2025 Marketplace Integrity and Affordability rule, intended to establish new standards for the health insurance marketplaces and address improper and fraudulent enrollments.
Supreme Court sides with HHS in Medicare DSH formula case
The Supreme Court April 29 ruled 7-2 in favor of the Department of Health and Human Services in a case that challenged how HHS applied Congress’ formula for calculating Medicare Disproportionate Share Hospital payments.
Optimize Your Hospital’s Revenue Cycle for Efficient, Patient-Centered Operations
Optimizing hospital’s revenue cycle for efficient, patient-centered operations and
enhancing critical KPIs using AI and robotic process automation.
Building and Implementing an Artificial Intelligence Action Plan for Health Care
Health care artificial intelligence action plan defines people, process and technology essentials, ROI, and AI use cases to transform care delivery.