Cost Management

Jan 11, 2021
At A Glance Health plans often inappropriately delay or decline coverage for medically necessary care. This can undermine the quality of care that is provided, strain the provider/patient relationship, result in bad debt for providers and unexpected bills for patients, and increase the burden on…
Jan 11, 2021
AHA comments on the Centers for Medicare & Medicaid Services’ proposed changes to the hospital and hospital health care complex cost report.
Jul 10, 2020
The Departments of Health and Human Services, Labor, and Treasury today issued a proposed rule that would allow grandfathered health plans to increase enrollees’ premiums and cost-sharing amounts beyond what is currently allowed.
Jan 21, 2020
Leaders from health care delivery systems, insurers, the pharmaceuticals industry and technology companies converged on San Francisco last week for the annual J.P. Morgan Healthcare Conference and got a close-up look at just how quickly the field is transforming. News came quickly on several fronts…
Jan 21, 2020
Intermountain Healthcare, long committed to reducing patients’ out-of-pocket costs, is making good on its pledge albeit at a steep price, Chief Financial Officer Bert Zimmerli told a packed crowd.
Jan 21, 2020
Payers like Humana and Oscar Health, along with Aetna, represented by its parent company CVS Health, provided updates on how their evolving strategies are reducing health care costs and driving health behaviors. Humana CEO Bruce Broussard said the flurry of payer mergers and acquisitions in the…
Oct 25, 2019
The U.S. Court of Federal Claims this week ordered the federal government to reimburse insurers about $1.6 billion for unpaid cost-sharing reductions provided through the health insurance exchanges in 2017 and 2018.
May 28, 2019
Responding today to a House Energy and Commerce Committee request for information on its No Surprises Act draft legislation to protect patients from surprise medical bills, the AHA said it shares the committee’s objective of protecting patients from balance billing in certain circumstances by out-…
May 24, 2019
Ways and Means Committee Chairman Richard Neal, D-Mass., and Energy and Commerce Committee Chairman Frank Pallone Jr., D-N.J., along with Ranking Members Kevin Brady, R-Texas, and Greg Walden, R-Ore., yesterday announced that they are seeking comments on draft legislation to reform and improve the…
May 23, 2019
Leaders of the Senate Committee on Health, Education, Labor and Pensions today released the Lower Health Care Costs Act of 2019 – bipartisan discussion draft legislation focused on reducing health care costs. Among other areas, the bill would take steps to end surprise medical bills, reduce the…