Prior Authorization

American Hospital Association (AHA) resources on health care insurance prior authorization, the impact of insurers' delays and rejections on patients, and the cost of these delays to hospitals and health systems.

The American Hospital Association expresses support of the Improving Seniors’ Timely Access to Care Act of 2021 (S. 3018).
The AHA urges the Centers for Medicare & Medicaid Services to revise and reissue recent proposed regulations streamlining prior authorization requirements within certain coverage programs; consider additional regulations to limit care delays; and conduct oversight and enforcement for plans who have…
At a Glance  The Centers for Medicare & Medicaid Services (CMS), in coordination with the Office of the National Coordinator for Health Information Technology (ONC), on Jan. 15 released a final rule that builds on efforts to improve the electronic exchange of health care information,…
Sens. Sherrod Brown, D-Ohio, and John Thune, R-S.D., introduced the Improving Seniors' Tmely Access to Care Act (S. 5044), bipartisan legislation that would require Medicare Advantage plans to establish an electronic prior authorization system and provide “real-time” decisions for routine services…
At a Glance The Centers for Medicare & Medicaid Services (CMS), in coordination with the Office of the National Coordinator for Health Information Technology (ONC), Dec. 10 proposed new regulations that would build on efforts to improve the electronic exchange of health care information,…
AHA statement on CMS prior authorization rule from Senior Vice President for Public Policy Analysis and Development Ashley Thompson
AHA letter to CMS regarding their attention to improving health plan prior authorization processes through appropriate standardization.