Search
Health plans identify 39% of all disputes as ineligible, including 45% of non-emergency service disputes.
That includes a $7.7 billion increase in demand for uncompensated care, numbers showed.
Health plans will continue to cover recommended immunizations with no cost-sharing through the end of 2026, AHIP says.
However, extending the credits would also increase the federal deficit, CBO says.
Baptist Health Chief Revenue Officer says the health system will often eat the cost of a service rather than delay care.
Cigna says it’s also “leaning in” to an arrangement with the government to reduce prior authorization.
The bill would fine health insurance companies that fail to pay physicians within 30 days after losing the IDR process.
The pledge is part of a recent series of commitments made by health plans to overhaul prior authorizations.
A roundtable discussion among industry executives has identified access, efficiency and administrative burden as pressing issues.
Insurers are promising faster access for patients and more transparent workflows for providers.
