In this report, we analyze transparency data released or updated in 2020 by the Centers for Medicare and Medicaid Services (CMS) to examine claims denials and appeals among issuers offering individual market coverage on HealthCare.gov; data are from plan years 2018 and 2019.  The Affordable Care Act (ACA) requires transparency data reporting by non-grandfathered group
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The AHA today announced Southwestern Vermont Medical Center in Bennington, Vt., as the 2020 recipient of the Rural Hospital Leadership Award. The award recognizes small or rural hospital leaders who guide their hospital and community through transformational change on the road to health care reform. AHA recognizes SVMC for using its nursing workforce as part
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Dive Brief: UnitedHealth Group beat Wall Street expectations for both earnings and revenue in fourth-quarter financial results released Wednesday, as care consumption and prescriptions returned to more normal levels despite fears of renewed deferrals as COVID-19 cases surge. The Minnetonka, Minnesota-based health giant reported quarterly revenue of $65.5 billion, up almost 8% year over year.
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The AHA recently signed on in support of model legislation that states can use to hold health insurers accountable for discriminating against those with mental health and substance use disorders by denying coverage of care. As drafted, the Kennedy Forum’s Jim Ramstad Model State Parity Legislation model bill would require insurers to follow generally accepted
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The Department of Health and Human Services’ Office of the National Coordinator for Health Information Technology Jan. 15 added new frequently asked questions to its FAQs on the information blocking provisions in its final rule updating information sharing requirements for health care providers, health IT developers and health information exchanges. ONC in November extended the
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Published in the Jan. 19 edition of JAMA, this article from KFF Executive Vice President for Health Policy Larry Levitt lays out the major health policy challenges that will confront President-elect Biden and potential approaches to major reform. While a big reform debate may not be likely this year, one is likely coming as the
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The Department of Health and Human Services’ Office for Civil Rights yesterday announced collaborative efforts with the state of North Carolina, the North Texas Mass Critical Care Guidelines Task Force, the Southwest Texas Regional Advisory Council, and the Indian Health Service in updating each entity’s crisis standards of care to provide equitable health care to
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