AHIP is urging Congress to take action and address the ongoing price gouging of COVID-19 tests that payers are facing from out-of-network providers.
In a statement submitted to the House Committee...
Payers are responding to the proposed Notice of Benefit and Payment Parameters for 2023 for the individual health insurance marketplace.
The proposed rule addressed a broad range of issues on the...
AHIP and the Blue Cross Blue Shield Association (BCBSA) have filed amicus briefs that support the Department of Health and Human Services (HHS) in the surprise billing lawsuit raised by the Texas...
Payers are reacting to the CMS proposed Medicare coverage determination for Alzheimer’s treatments that use monoclonal antibodies directed at amyloid, such as Biogen’s...
Updated 1/11/2022: This article has been updated to include comments from leaders at the Alliance of Community Health Plans (ACHP).
Health insurers will be responsible for the costs of at-home...
In a joint letter to the four representatives who introduced the bill in the House of Representatives, payer and provider organizations have thrown their support behind the Value in Health Care Act of...
Price gouging of coronavirus tests continues to drive healthcare spending higher as out-of-network providers charge up to three times the actual cost of the test, according to recent data from...
Updated 7/08/2021: This article has been updated to include a comment from an Aetna spokesperson.
Ophthalmologists are responding in opposition to Aetna’s new prior authorization policy for...
AHIP and the Blue Cross Blue Shield Association (BCBSA) have helped over two million seniors receive the COVID-19 vaccine through their vaccine outreach program.
The Vaccine Community Connectors (VCC)...
AHIP is urging Congress to extend the American Rescue Plan Act (ARPA) tax credits beyond the current deadline to prevent increased premiums for consumers under the Affordable Care Act (ACA) and to...
Since the Supreme Court dismissed California v Texas on June 17, payers and healthcare leaders have vocalized their support for the decision, their readiness to continue building on the Affordable Care...
The majority of the average healthcare premium dollar goes toward prescription drugs and outpatient and inpatient hospital costs, according to AHIP’s most recent research.
AHIP looked at 30...
As CMS reconsiders the Medicare Coverage of Innovative Technology (MCIT) rule which was finalized in mid-January 2021, America’s Health Insurance Plans (AHIP) has expressed its concerns regarding...
America’s Health Insurance Plans (AHIP) has announced new online resources for the public to help consumers understand their health plan options during the Affordable Care Act special enrollment...
In order to combat misinformation around the coronavirus vaccines, payers have been taking an active role in promoting the vaccines and educating the public on their benefits to boost coronavirus...
After collaborating for 18 months on streamlining data exchange between health plans, patients, and providers, Humana and Epic are moving into the next phase of their partnership which involves...
Electronic prior authorizations may improve quality of care by increasing the speed of care delivery, decreasing provider burden, and boosting patient experience, according to a study conducted on...
Reducing racial care disparities and promoting health equity are key functions of Medicaid managed care organizations, particularly in the context of the coronavirus pandemic, an issue brief from...
Most Americans who have employer-sponsored health plans expressed confidence in their health plans’ support and financial protection, according to a survey conducted on behalf...
America’s Health Insurance Plans (AHIP) and Blue Cross Blue Shield Association (BCBSA) have promised to use their data analytics, partnerships, and member engagement platforms and strategies to...
