Healthcare Here

The Catholic Health Association of the United States, American Hospital Association and Healthcare Financial Management Association (HFMA) have created the Alliance for Access to Care and its #HealthcareHere website to raise awareness about #BarriersToCare faced by patients because of health #insurance denials. “We’re uncovering more and more barriers to care that need to be made public, so that we could impress upon our policymakers that changes need to happen,” said Sr. Mary Haddad, RSM, CHA president and CEO. ?? Learn more: https://hubs.li/Q027Y-Pw0 Crux

"Insurance is out of control... I have no other words." A video from Dr. Elisabeth Potter went viral in January after a health insurance provider forced her out of surgery to justify her patient's care. The message triggered a wave of similar videos from caregivers expressing their frustrations with the insurance industry. CNN's Meena Duerson asked Dr. Potter about her decision to speak up: https://hubs.li/Q037QSWM0

"Insurance is out of control... I have no other words." A video from Dr. Elisabeth Potter went viral in January after a health insurance provider forced her to scrub out of surgery to justify the patient's care. The message triggered a wave of similar videos from caregivers expressing their frustrations with the industry. CNN's Meena Duerson asked Dr. Potter about her decision to speak out: https://hubs.li/Q037QQLZ0

Around 850 million claims are denied by health insurance companies per year. Less than 1% of patients appeal. But most of the time? They win. The Wall Street Journal's Julie Wernau speaks to families who successfully appealed their denials, covering the grueling, emotional process to fight for their care. https://hubs.li/Q036FpVH0

Have you ever decided not to appeal an insurance denial due to the time and effort it takes? That may be a feature, not a bug, of the insurance industry. Learn more about the difficulties of insurance appeals and how they affect the most vulnerable members of society in STAT (subscription may be required).

AI startups are helping healthcare providers tackle insurance denials as insurers ramp up automation. From instant appeals to faster approvals, AI is reshaping healthcare. Is this the future of claims? Learn more in Modern Healthcare (subscription may be required): https://hubs.li/Q031rQSL0 #AIinHealthcare #HealthTech #HealthcareHere

UnitedHealth’s controversial Medicare Advantage practices cost taxpayers billions. A recent report reveals how the insurer profited from diagnosing chronic illnesses without delivering proper care. These tactics raise serious questions about ethics and patient welfare. Learn more in STAT (subscription required): https://hubs.li/Q02XwCTk0 #Medicare #healthcare

Taxpayer dollars have become a lucrative revenue stream for some of the nation’s largest health insurers by charging local governments exorbitant fees. Learn more: https://hubs.li/Q02V_vY90 #HealthInsurance

A recent investigation reveals that companies such as EviCore profit by denying necessary treatments through opaque algorithms and rigid guidelines. This "denials for dollars" approach not only jeopardizes patient care but also raises ethical questions about the role of profit in health decisions. Learn more in ProPublica: https://hubs.li/Q02VSpzy0 #AI #healthcare #InsuranceReform

A Senate investigation has uncovered a troubling trend among Medicare Advantage insurers. UnitedHealth, Humana and CVS are ramping up their use of technology to deny claims, resulting in a 25% denial rate for post-acute coverage requests. As technology evolves, we must ensure it serves patient needs. Read the article from STAT (subscription required): https://hubs.li/Q02TRSg10 #healthcare #Medicare #AI