AHIP

7 Ways That Payers Help Members Manage Their Mental Health Needs

by Kelsey Waddill

As the nation continues to experience a mental health crisis, health insurers have developed numerous strategies to help members manage their mental health needs, according to a resource from...

How Payers Are Increasing Access to Behavioral, Mental Healthcare Services

by Kelsey Waddill

Payers are offering providers and consumers a broad range of services and supports related to mental healthcare and are taking steps to increase access to mental healthcare, according to a survey...

Consumers Continue to Experience Surprise Billing After No Surprises Act

by Kelsey Waddill

Although the No Surprises Act went into effect at the beginning of 2022 to protect consumers from receiving unexpected healthcare bills, consumers have reported that they continue to be affected by...

AHIP Calls For More Accurate Federal Reporting on Medicare Advantage

by Kelsey Waddill

AHIP acknowledged the need for improved oversight for certain Medicare Advantage quality metrics but also argued that federal reporting on Medicare Advantage plans has been inaccurate in the...

Payers Respond to SCOTUS Overturning Abortion Rights Case

by Kelsey Waddill

Updated 6/28/2022: This article has been updated to include statements from the Association for Community Affiliated Plans (ACAP), Robert Wood Johnson Foundation, and the American...

AHIP to Offer Members Access to Analytics Platform, Data Reports

by Victoria Bailey

AHIP has subscribed to the Institute for Clinical and Economic Review’s (ICER) cloud-based analytics platform, providing health plan members with access to benchmark reports, cost-effectiveness...

No Surprises Act May Have Blocked 2M Surprise Billing Claims

by Kelsey Waddill

Since the No Surprises Act went into effect, the law has prevented more than two million surprise billing claims in its first two months of enactment, according to a survey from AHIP and the Blue Cross...

AHIP Supports Using Texts, Calls for Medicaid Enrollment Processes

by Kelsey Waddill

AHIP has expressed its support for a request from the US Department of Health and Human Services (HHS) and CMS to the Federal Communications Commission, which seeks confirmation of the agencies’...

Employer-Sponsored Health Plans Facilitated Mental Health Access

by Victoria Bailey

Nearly a quarter of individuals receiving coverage from employer-sponsored health plans accessed mental health support in 2020, according to research from AHIP. Nearly 180 million Americans receive...

Consumers Share on Employer-Sponsored Mental, Behavioral Coverage

by Kelsey Waddill

Consumers reported having positive experiences with their employer-sponsored mental and behavioral healthcare coverage during the coronavirus pandemic, a survey conducted on behalf of AHIP...

Employer Sponsored Health Plan Trends in High Enrollment States

by Kelsey Waddill

AHIP has released an overview of employer-sponsored health plan coverage across all 50 states and the District of Columbia, with California, Texas, and New York seeing the highest populations of...

AHIP Responds to Proposed CDC Opioid Prescribing Guidelines

by Kelsey Waddill

AHIP has responded to the latest updates to opioid prescribing guidelines from the Centers for Disease Control and Prevention (CDC). CDC’s proposed updates to the opioid prescribing guidelines...

CMS: 2023 Medicare Advantage, Part D Rate Sees 8.5% Revenue Boost

by Kelsey Waddill

CMS announced an 8.5 percent boost on average to payer revenues next year in the 2023 Medicare Advantage and Part D Rate, according to a CMS press release. This final rate announcement was higher than...

Value-Based Care Models That Could Lower Maternal Care Costs

by Kelsey Waddill

Maternal healthcare costs in the US are too expensive, but value-based care may provide a solution, according to a brief from AHIP. “Americans need and deserve safe, high-quality, equitable and...

Trends, Changes in 2020 Medicare Supplement Plan Enrollment

by Victoria Bailey

Overall, Medicare Supplement plan enrollment decreased slightly in 2020, but a select few plans continued to grow with nearly 90 companies offering plan policies, according to an AHIP report. Medicare...

Payer Orgs Respond to CMS Medicare Advantage Advance Notice

by Kelsey Waddill

Payer organizations such as AHIP and the Alliance for Community Health Plans (ACHP) have raised some concerns in their comments on the advance notice of methodological changes for Medicare Advantage...

Payers React to State of the Union 2022 on ARPA, Drug Costs

by Kelsey Waddill

Major payer organizations are reacting to payer-related aspects of the State of the Union address, including making permanent the American Rescue Plan Act premium subsidies and lowering drug...

AHIP: Next Steps Toward Primary, Behavioral Healthcare Integration

by Kelsey Waddill

AHIP called on providers and policymakers to join payers in their efforts to integrate behavioral healthcare and physical healthcare in an issue brief on the subject. The payer organization laid out...

AHIP Comments on Alzheimer’s Drug National Coverage Determination

by Kelsey Waddill

AHIP supported CMS on its national coverage determination for monoclonal antibodies (mAbs) directed against amyloid for treating Alzheimer’s Disease and offered recommendations for clarification...

AHIP Shares Privacy, Cybersecurity Goals To Protect Consumer Data

by Kelsey Waddill

AHIP has shared its goals and priorities for upholding health IT security and privacy around consumer data in two press releases issued by the AHIP board of directors and the organization’s chief...