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Issue Landing Page
Member Non-Fed

Health Plan Accountability

Commercial health plan abuses must be addressed to ensure fair coverage for patients and providers. The AHA has worked to hold health plans accountable through letters, statements, white papers and member updates.
Health Plan Accountability Update
Member

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
Member

Health Plan Accountability Update - June 2025

HHS announces initiative with insurers to streamline prior authorizations.
Advisory
Member

AHA Urges Elevance Health to Rescind Anthem’s ‘Nonparticipating Provider Policy’

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.
News

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.
News

Report finds increasing concentration in commercial health, MA insurance markets 

The American Medical Association Dec. 16 released its latest annual report on health insurance competition, finding that 97% of commercial markets were highly concentrated in 2024.
News

CMS says nearly 950,000 enrolled for new Marketplace coverage 

Approximately 950,000 consumers who currently do not have health insurance coverage through the federally facilitated Health Insurance Marketplace have signed up for a 2026 health plan, the Centers for Medicare & Medicaid Services announced Dec. 5.
News

Dueling Senate bills to address health care affordability fail to pass

The Senate today failed to pass legislation to address health care affordability. The chamber first voted on a Republican-backed bill that failed by a 51-48 vote. The bill would have disbursed $1,000 in health spending accounts for individuals age 18-49 and $1,500 for those age 50-64. A Democrat-led plan that would have extended the enhanced premium tax credits for three years also failed by a 51-48 tally. The bills needed 60 votes to pass.
News

CMS bulletin summarizes Medicaid, CHIP provisions from budget reconciliation bill 

The Centers for Medicare & Medicaid Services released a bulletin Nov. 18 summarizing provisions from the budget reconciliation bill related to Medicaid and the Children’s Health Insurance Program.