New Solution Helps to Address Unfair Commercial Health Care Plans

New Solution Helps to Address Unfair Commercial Health Care Plans. A health care executive reviews her hospital's data on denials, reimbursement, and claims processing using the AHA Vitality Index solution.On behalf of its members, the AHA has been tracking commercial health insurance practices that contribute to burnout and make it more difficult for some Americans to access the care they need. A recent white paper released by the AHA highlights the impact that anti-competitive practices and inappropriate delays and denials have had on hospitals and patients. This paper follows a report issued earlier this year that addresses the same topic, and also identifies a number of solutions at the national level to improve oversight and help build a health system that better serves patients and protects clinicians from burdensome health insurance practices that take them away from patient care. 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.

Gloria Kupferman, AHA’s chief data strategy officer, describes how this new solution gives members access to aggregated, de-identified hospital data with standardized metrics on denials, reimbursement and claims processing to use for analyzing operational and financial efficiency. Read the blog.

A January 26, 2022, AHA webinar will explore how hospitals and health systems can leverage their data to hold payers accountable.

AHA Center for Health Innovation logo

Related Resources

AHA Center for Health Innovation Market Scan
If 2021 will be remembered as the great expansion of retail health care, 2022 is likely to be defined as the year of disruptor differentiation.
Special Bulletin
The Department of Health and Human Services (HHS) today updated its guidance to hospitals on the reporting of COVID-19-related data.
AHA Center for Health Innovation Market Scan
Fund managers now target companies addressing health equity with solutions aimed at increasing access and improving outcomes for historically underserved and…
AHA Center for Health Innovation Market Scan
In a move to support its primary care strategy and in an apparent response to competitors like Walgreens and Walmart, CVS Health says it will accelerate its…
AHA Center for Health Innovation Market Scan
A Physicians Foundation survey published this summer found that 61% of practitioners report having often experienced feelings of burnout due to the pandemic —…
AHA Center for Health Innovation Market Scan
A new partnership between CVS Health and Microsoft is designed to facilitate personalized service leveraging CVS’ massive data from its base of roughly 100…