About Holding Insurers Accountable
Patients deserve access to health care without unnecessary barriers from their insurance companies. But with 94% of the commercial health insurance market controlled by just six companies, health insurance companies have enormous power in California — and they increasingly use that power to deny enrollees access to care or even refuse to pay for care that’s already been delivered, all while padding their bottom lines. CHA is advocating for increased oversight and accountability to ensure commercial insurers meet their basic responsibilities to patients.
In 2023, CHA filed a lawsuit against Anthem alleging that it failed to ensure timely care for its beneficiaries. Read the latest here.
CHA also participates in the American Hospital Association’s Vitality Index, a key advocacy tool that tracks claims data. Learn more.
Issue Brief: All Californians Deserve Timely Access to Medical Care
Current California standards require health plans to ensure that their enrollees have timely access to medical care — such as being within 15 miles or a 30-minute drive from a hospital. Unfortunately, many people covered by Medi-Cal still face significant hurdles to access care.
Key Messages: All Californians Deserve Timely Access to Medical Care
California standards that ensure timely access to care for Medi-Cal enrollees will expire in less than a year.
Infographic: Holding Insurers Accountable
Issue Brief: State Regulators Must Take Action to Ensure Patients Get Care When They Need It
Health care decisions should be made by clinicians, not insurance companies that profit while patients suffer.
Key Messages: Care Delayed Is Care Denied
Too many Californians must fight to access critical health care services due to the harmful business practices of many insurers
Analysis of Statewide Survey on Insurer-Driven Discharge Crisis
Insurance company red tape, inadequate networks, and authorization denials leave patients stranded in hospitals