Hospitals continue to have serious concerns that Anthem's coverage policies for outpatient imaging and emergency care services are detrimental to patients, diminishing access to care and driving care location based on the lowest cost provider, AHA and other hospitals groups told the insurer today. "These changes in coverage rules lack transparency for patients and providers, discourage patients from seeking appropriate and timely treatment, inappropriately place Anthem between patients and their clinicians, and make material – out of cycle – changes to existing contracts between insurers and hospitals," wrote AHA, America's Essential Hospitals, Association of American Medical Colleges, Catholic Health Association of the United States, Federation of American Hospitals, Premier healthcare alliance and Vizient, Inc. "We urge Anthem to retract these policies and work with our organizations to ensure your members receive the high-quality care they deserve."
 

Related News Articles

Headline
The Department of Health and Human Services Office of Inspector General Jan. 27 released a bulletin addressing how direct-to-consumer drug programs can sell…
Headline
The Centers for Medicare & Medicaid Services Jan. 27 announced 15 drugs under Medicare Parts D and B selected for the third round of price negotiations.…
Headline
A KFF analysis released Jan. 28 found that Medicare Advantage insurers made nearly 53 million prior authorization determinations in 2024, an increase…
Headline
The AHA Jan. 26 released a white paper on addressing challenges in implementing an advanced explanation of benefits, which requires coordination among multiple…
Headline
The House Energy and Commerce Subcommittee on Health and Ways and Means Committee Jan. 22 hosted hearings on health care affordability that included…
Perspective
Public
Every year tens of millions of Americans dig deep into their pocketbooks to pay for health insurance plans that will cover both preventive and necessary care…