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Addressing Commercial Health Plan Challenges to Ensure Fair Coverage for Patients and Providers
This report documents the American Hospital Associationâs (AHA) findings related specifically to prior authorization and payment delays and denials. This work is informed by two large surveys of hospitals, as well as interviews and group discussions with hundreds of hospital and health system leaders.
Case Study: Nationwide Childrenâs Hospital Behavioral Health Services
Nationwide Childrenâs launched a national movement On Our Sleeves to break stigmas around childrenâs mental health in 2018, and in March 2020 opened Big Lots Behavioral health pavilion.
Case Study: Tampa Bay Thrives
In Tampa Bay and West Central Florida, 1 in 6 people live with depression and 1 in 12 have a substance use
Case Study: WakeMed Behavioral Health Network
WakeMed Health & Hospitals faced a behavioral health crisis in the systemâs seven emergency departments
Case Study: Avera Behavioral Health
Rural areas have the highest rates of suicide and drug overdoses in the nation, according to the Centers fo
COVID-19 Didnât Stop Health Care Disruptors from Moving Forward
Amid the COVID-19 pandemic turbulence last year, some of Americaâs largest companies were forced to reexamine their strategies to disrupt health care in an effort to reduce costs, increase access and forge stronger bonds with consumers. Some, like Amazon, CVS Health, Walgreens Boots Alliance and Walmart, added to the number of their early brick-and-mortar primary care locations to serve their customers or employees.
Letâs Work Together â A Framework for Public-Private Health Care Collaboration During Crises
A report issued by the group last month, the âNational Dialogue for Healthcare Innovation,â provides a framework for how hospitals and health systems, public health, government leaders and others can work together during future crises. The wide-ranging report addresses three primary areas in which the pandemic highlighted challenges: innovative care delivery approaches, improving data and evidence generation, and strengthening innovation and supply chain readiness.
Addressing Commercial Health Plan Abuses to Ensure Fair Coverage for Patients and Providers
Health care coverage is eroding for many Americans as some health insurers are restricting access to services through administrative barriers and inappropriately withholding reimbursement from prov
Patients to Pay More Out of Pocket for Virtual Care
Some health insurance reimbursement changes that helped fuel virtual careâs rapid rise during the early months of the pandemic are being eliminated. Health insurance giants UnitedHealthcare and Anthem are revising their telehealth reimbursement rules in ways that will increase patientsâ out-of-pocket costs.