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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
Holding Commercial Health Insurers Accountable
“Trust but verify” is a phrase often associated with President Reagan and the need to ensure that treaties enacted with the Soviet Union were being upheld.
Analysis: Health Insurance Marketplace premiums would more than double if enhanced premium tax credits expire
An analysis published Sept. 30 by KFF found that Health Insurance Marketplace enrollees who currently benefit from the enhanced premium tax credits would pay more than double their current premium payments if the EPTCs expire at the end of this year.
AHA provides recommendations to HHS, CMS for insurers to adhere to prior authorization pledge
The AHA Sept. 29 sent recommendations to the Department of Health and Human Services and the Centers for Medicare & Medicaid Services to help ensure insurance plans adhere to the agencies’ health insurer pledge to reform prior authorization processes.
AHA Supports Administration Facilitating Health Insurer Pledge to Reform Prior Authorization
AHA supports the Administrations role in facilitating the health insurer pledge to reform prior authorization processes announced on June 23.
AHA Urges Aetna to Rescind Level of Severity Inpatient Payment Policy
America’s hospitals and health systems are deeply concerned about Aetna’s recently announced “level of severity inpatient payment” policy.
AHA Details Legislative Priorities for Congressional Leaders
Hospitals and health systems are experiencing significant financial pressures that challenge their ability to provide 24/7 care for the patients and communities they serve. As Congress begins to focus on its end-of-the-year work, America’s hospitals and health systems respectfully request that you consider the following priorities.
U.S. uninsured rate increased between 2023 and 2024
The Census Bureau reported that the uninsured rate increased nationally to 8.2% in 2024 from 7.9% in 2023 based on data from the American Community Survey.
New Solution Helps to Address Unfair Commercial Health Care Plans
To help members reduce the significant operational challenges caused by some of these commercial payer issues, the AHA has also launched a new solution, the AHA Vitality Index.
CMS announces changes to AHEAD Model for states
The Centers for Medicare & Medicaid Services Innovation Center Sept. 2 announced changes to the Achieving Healthcare Efficiency through Accountable Design Model, including a new end date of Dec. 31, 2035.