AHIP

Members Won’t Back Healthcare Price Transparency If Costs Go Up

by Samantha McGrail

Three in four adults would not support a federal regulation that improved healthcare price transparency if the rule raised the cost of health insurance premiums, according to a new Morning Consult...

Supreme Court Will Not Expedite ACA Constitutionality Review

by Kelsey Waddill

The Supreme Court will not expedite a review of the Affordable Care Act’s (ACA’s) constitutionality. The Fifth Circuit Court of Appeals declared the individual mandate void in December...

AHIP Signs onto Support for Social Determinants Accelerator Act

by Kelsey Waddill

The America’s Health Insurance Plans (AHIP) recently espoused the Social Determinants Accelerator Act and urged a hearing to discuss how it might help the healthcare industry’s fight...

AHIP Rejects Single-Payer Proposals, Upholds Current System

by Kelsey Waddill

America’s Health Insurance Plans (AHIP) submitted a statement to the House Energy and Commerce Committee opposing current single-payer proposals in the United States.* “Americans are...

AHIP Lobbies for Medicaid Managed Care Orgs, Alzheimer’s Patients

by Kelsey Waddill

America’s Health Insurance Plans (AHIP) recently issued an amicus brief in support of states covering MMCO’s health insurance tax. The national payer organization has also been lobbying...

CA Surprise Billing Law Cuts Out-of-Network Specialty Visits 17%

by Kelsey Waddill

Out-of-network specialty visits in California may have declined by 17 percent since implementing AB 72, California’s surprise billing law,  a study by the University of Southern...

Health Insurance Tax May Rise $1.2 Billion Due to New CMS Payment Rule

by Kelsey Waddill

The health insurance tax, mandated in the Affordable Care Act, will be back in effect in 2020 and is set to generate $15.5 billion in taxes due to CMS’s new 2020 payment rule. “This new...

Payers, Providers Spar Over Proposed Prior Authorization Regulation

by Kelsey Waddill

America’s Health Insurance Plans (AHIP) and Blue Cross Blue Shield Association (BCBSA) joined together to defend prior authorizations in a statement submitted to the Committee on Small...

Orphan Drug Act Raises Prescription Drug Spending, Needs Reworking

by Kelsey Waddill

The Orphan Drug Act no longer serves its original purpose but instead increases prescription drug spending and healthcare spending, American’s Health Insurance Plans (AHIP) stated in a recent...

AHIP Backs Four Options for Long Term Care Reform

by Kelsey Waddill

America’s Health Insurance Plans (AHIP) published its letter to the Federal Interagency Task Force on Long-Term Care Insurance (Task Force) agreeing with their decision to address long-term care...

AHIP: Proposed Auditing Rule Would Harm Medicare Advantage Plans

by Kelsey Waddill

America’s Health Insurance Plans (AHIP) discouraged CMS from finalizing the risk adjustment data validation (RADV) changes suggested in the agency’s Notice of Proposed Rulemaking (NPRM)...

CA’s In-Network Providers Increased 16% After Surprise Billing Law

by Kelsey Waddill

There are 16 percent more in-network physicians in California since the passing of the state’s surprise medical bills law — indicating that benchmark price setting may not force physicians...

Fast-Tracking Value-Based Insurance Design on Exchange Marketplaces

by Kelsey Waddill

Believing that having a standard value-based insurance design (V-BID) plan could fast-track the implementation of value-based insurance design principles, a team of researchers from the University of...

Payers Admonish OPPS Rule, Assert Damage to Competition

by Kelsey Waddill

Payer organizations are voicing their opposition to CMS’s Medicare Outpatient Prospective Payment System (OPPS) rule, stating that publishing negotiations would prevent payers from obtaining...

Why Payers Should Care About the Cadillac Tax Repeal

by Kelsey Waddill

The House of Representatives recently voted 419-6 to repeal the Cadillac tax, which would impact the payers and plans employers choose if the law is formally repealed. Under the authority of the...