Seniors who choose Medigap policies have high rates of satisfaction with their choice, particularly due to reduced out-of-pocket healthcare spending, according to a survey that America’s Health...
Given the positive social determinants of health impacts that Medicaid managed care organizations have achieved in Medicaid programs, policymakers should offer them greater flexibility to maximize that...
All Americans should have healthcare coverage and six steps can make universal coverage a reality, according to several significant healthcare organizations and entities including America’s...
Major payer organizations, specifically America’s Health Insurance Plans (AHIP) and the Association for Community Health Plans (ACAP), are calling for a reversal on key Trump healthcare...
Update 1/15/2021: This article has been edited to reflect that GoodRx included newly approved drugs in its calculations, which accounted for the change in the number of drugs that the...
Congress has passed a new law that seeks to eliminate surprise billing, particularly surprise bills that result from contract disputes, inaccurate provider directories, and air ambulatory...
Both houses of Congress have voted to repeal an anti-trust exemption in the McCarran-Ferguson Act of 1945 which protects payers from federal competition laws.
The Competitive Health Insurance Reform...
As the 116th Congress comes to a close, America’s Health Insurance Plans (AHIP) and Blue Cross Blue Shield Association (BCBSA) urged legislators to provide COVID-19 relief, calling for access to...
The Department of Health and Human Services has released its finalized rebate rule which changes safe harbors around prescription drug pricing, impacting Medicare Part D plans and certain Medicaid...
The Alliance of Community Health Plans (ACHP) urged Congress to take steps toward making telehealth flexibilities permanent and to ensure that coronavirus testing is available to consumers without...
The coronavirus pandemic has highlighted many of the problems in the healthcare system including the practice of price gouging, according to a recent America’s Health Insurance Plans (AHIP)...
McLaren St. Luke’s has filed an anti-trust lawsuit against ProMedica Health System to prevent it from retracting Paramount commercial and Medicare Advantage health plan coverage.
According to...
America’s Health Insurance Plans (AHIP) has come forth with critique of the price transparency final rule, saying that it will drive healthcare prices up and decrease industry competition.
The...
CommonWell Health Alliance announced that it is expanding its interoperability services, a move which could support payers struggling with interoperability compliance related to the new CMS...
The House of Representatives has passed HR 1418, the “Competitive Health Insurance Reform Act,” reintroducing questions about whether healthcare payers should be allowed to fall under an...
The Core Quality Measure Collaborative (CQMC), a partnership between America’s Health Insurance Plans, CMS, and the National Quality Forum (NQF) that establishes quality measures to promote...
While by and large patients were under the same waivers for coronavirus testing, payers have implemented a broad range of strategies to handle coronavirus treatment cost-sharing for the long term, a...
Although the interoperability rule will not be implemented until mid-2021, payers can be aware of what to expect regarding how this rule will change their processes, as outlined in a recent AHIP...
Payers can play a significant role in decreasing the expense and complexity of serious illness care for patients through whole person care and palliative care, a study from America’s Health...
The average basic premium for Medicare Part D prescription plans will be the second lowest average Part D premium since 2013, CMS announced.
“The Trump Administration has prioritized policies...
