A blog by Noah Isserman, AHA director of health insurance and coverage policy, explains why Anthem’s nonparticipating provider policy limits patients’ access to care and overreaches its enforcement. The blog also raises questions about Anthem’s motivation behind the policy and whether it is a pretext to cut hospital payments. The policy, effective since Jan. 1, reduces payments by 10% for hospitals in 12 states if any provider involved in an Anthem member’s care is out-of-network. READ MORE 

Headline
The Department of Labor July 22 released a proposed rule to modernize how group health plans deliver required disclosures. The proposal would create a safe…
Headline
The U.S. District Court for the District of Maryland July 16 enjoined eight provisions from the Centers for Medicare & Medicaid Services’ 2027 notice of…
Headline
The Centers for Medicare & Medicaid Services July 16 released draft guidance for the 2028 cycle of negotiations under the Medicare Drug Price Negotiation…
Blog
Public
Americans experience healthcare affordability in different ways. Often, affordability is first considered in terms of health insurance premiums that fit within…
Headline
The AHA July 15 responded to a request for information from the Centers for Medicare & Medicaid Services on the Affordable Care Act’s Essential Health…
Perspective
Public
As we move into the second half of 2026 and Congress returns to work in Washington, D.C., next week, lawmakers face a list of difficult issues that demand…