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What’s happening: The Department of Managed Health Care (DMHC) has issued All Plan Letter (APL) 24-012, which reminds plans that they may not require a hospital to make more than one telephone call to request authorization to provide post-stabilization care to plan members. What else to know: The APL reiterates the requirements of Health &...
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What’s happening: Hyve Health, the creator of the CHA-endorsed Vitality Index Payer Scorecard, has entered into a national partnership on payer accountability with the Healthcare Financial Management Association. What else to know: CHA continues to encourage members to enroll in the scorecard tool, which will provide critical information to support CHA’s advocacy to hold insurers...
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What’s happening: Congressional leaders have reintroduced bipartisan legislation to address concerns regarding prior authorization (PA) and timely access to care for beneficiaries enrolled in Medicare Advantage (MA) plans. What else to know: The Improving Seniors’ Timely Access to Care Act would establish an electronic PA standard, reduce the amount of time a health plan is allowed to consider...
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What’s happening: CHA’s campaign to shine a light on harmful insurance company practices is performing well with its Sacramento audience.
What else to know: As of the end of May, the digital campaign has yielded:
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What’s happening: CHA continues to await a response to the lawsuit filed against Anthem Blue Cross on April 23.
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What’s happening: Statewide and national media coverage of the CHA lawsuit against Anthem Blue Cross includes print articles, news videos, and mentions on local radio stations.
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What’s happening: This week, CHA launched a comprehensive digital and social media campaign drawing attention to insurance companies that prioritize profits over patient care.
What else to know: The campaign is targeted at Sacramento policymakers and complements CHA’s broader work to hold insurance companies accountable for their obligations to patients.
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This week, all four of CHA’s state advocacy priorities converged in Sacramento, with significant developments on each. Sharing a brief recap of this week’s activities and next steps.
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SACRAMENTO (April 23, 2024) — Anthem Blue Cross, one of California’s largest health insurance companies, consistently leaves thousands of its patients stranded in hospital beds long after they have been medically cleared for discharge, a violation of California law. These victims of discharge delays are forced to stay in hospitals longer, are deprived of timely post-hospital health care services, and cause backlogs for other patients who have to wait longer for hospital beds.
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What’s happening: A recording of the March 26 Department of Managed Health Care (DMHC) Complaint and Appeals Process Webinar is now available. What else to know: This complimentary, members-only webinar includes information about DMHC’s role in the independent medical review and complaint process. DMHC staff provided an overview of their jurisdiction and the consumer and provider...