Prior Authorization

Nov 4, 2022
The AHA appreciates the opportunity to comment on the Centers for Medicare & Medicaid Services’ (CMS) “Make Your Voice Heard” Request for Information (RFI) on promoting equity and efficiency in CMS programs. As requested in the RFI, we submitted our key recommendations using CMS’s electronic…
Nov 1, 2022
Certain commercial health insurer policies and administrative practices delay patient care, overburden clinicians and withhold critical payments from providers.
Sep 23, 2022
AHA today released the special edition podcast “How Prior Authorizations Can Harm Patient Care,” addressing how some health plan prior authorization policies delay or deter necessary patient care, potentially putting patients’ lives at risk.
Sep 23, 2022
In medical care, prior authorization was originally intended to ensure patients received appropriate care that was in line with tested methodologies. Today, “prior authorization” has become a dreaded term…often signaling delayed care and undue financial burdens posed to patients and care providers…
Jul 28, 2022
The cost of commercial insurance is increasing at an unsustainable rate — squeezing individuals and families, employers, and public programs. The average family insurance premium has increased 47% over the past 11 years — faster than general inflation and more than any other part of the health care…
Jul 27, 2022
In a letter to Representatives Richard Neal, and Kevin Brady, AHA voices support for the Improving Seniors’ Timely Access to Care Act of 2022 (H.R. 8487).
Jun 28, 2022
AHA expresses concerned about some MA plans’ inappropriate restrictions on beneficiary access to medically necessary care, including those highlighted in a recent report issued by the Department of Health and Human Services’ Office of Inspector General (HHS-OIG),
May 13, 2022
Medicare Advantage or MA Plans are another way for beneficiaries to get Medicare Part A and Part B coverage delivered through private insurance companies.
May 2, 2022
The AHA is committed to further identifying ways to improve health care system efficiency while providing the highest quality of care.