Catherine Collingwood EstesWorth watching: #BCBSAL is fighting to stop a legislative proposal allowing Alfa and #FarmBureau to offer health-care coverage to families and small businesses that would save on premiums. #Alabama #Monopoly #opinion #MEWA https://buff.ly/3CL1KK2
The highest rate of #ClaimsDenials on #ACA Federal #Exchange plans doesn't happen with #UnitedHealthcare. It happens with #BCBSAL, which has 80%+ market capture in that state. This is why #HealthInsurance #monopolies are a bad idea. https://buff.ly/3EfNgSF
Claims Denials and Appeals in ACA Marketplace Plans in 2023 | KFF
This brief analyzes federal transparency data released by the Centers for Medicare and Medicaid Services (CMS) on claims denials and appeals for non-group qualified health plans (QHPs) offered on HealthCare.gov in 2023. It finds that HealthCare.gov insurers denied nearly one out of every five claims (19%) submitted for in-network services. Information about the reasons for denials is limited, and few consumers appeal claims denials.