fah hospital policy blog

Perspectives on health policy affecting America’s hospitals and the patients we serve.

Category Archives: insurance

Hospital Groups Call on Anthem to Rescind ED and Imaging Coverage Changes

March 09, 2018 | FAH Policy Blog Team

Category: Health Care Delivery, Insurance, Quality

FAH, together with other hospital groups, wrote to Anthem to express serious concerns about the insurers coverage policies for outpatient imaging and emergency care services.

The letter highlights that Anthem’s emergency services policy lacks transparency for patients and providers, essentially requires patients to know their diagnosis before seeking care, and could lead to patients delaying life-saving medical treatment. The outpatient imaging policy also lacks transparency, is confusing to patients and providers, and will result in some patients failing to receive diagnostic testing.

FAH continues to encourage Anthem to retract these polices and work with our organizations to ensure Anthem members have access to high-quality, timely care.

You can find the complete letter here.

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FAH Comments on Association Health Plans

March 06, 2018 | FAH Policy Blog Team

Category: Insurance

Today, the Federation of American Hospitals (FAH) submitted comments to the Department of Labor (DOL) on the Proposed Rule amending current regulation making it easier for small employers and sole proprietors to band together as part of an association with the expressed purpose of offering health insurance to the employees of the association’s employer members (Association Health Plans). In most cases, the health insurance offered by the association would be treated as an employer-sponsored plan regulated as large group coverage rather than individual or small group coverage.

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FAH Submits Comments to the 2019 Exchange Rule

November 27, 2017 | FAH Policy Blog Team

Category: Affordable Care Act, Insurance

Late today, FAH submitted comments to CMS Administrator Seema Verma on the Notice of Benefit and Payment Parameters for 2019 Proposed Rule (2019 Exchange Rule). The rule proposes modifications to the regulations governing the Exchange created by the Affordable Care Act.

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FAH Joins Coalition Urging Congress to Keep Individual Mandate

November 14, 2017 | FAH Policy Blog Team

Category: Affordable Care Act, Insurance

A broad coalition of health care groups, including FAH, sent a letter to leaders of the House and Senate Tuesday urging Congress to “maintain” the Affordable Care Act’s individual insurance mandate.

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