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.
Andrea Preisler, AHA senior associate director of administrative simplification policy, Jennifer Cameron, executive director of patient access at Children's National Health System, and David Jacobson, M.D., division chief of blood and marrow transplantation at Children's National Hospital, discuss…
In this conversation, Andrea Preisler, Jennifer Cameron, and David Jacobson, M.D., discuss what the new prior authorization rule means for making sure clinicians can do what they do best: taking care of their patients.
A report released May 29 by the Government Accountability Office found a lack of state oversight on Medicaid managed care plans’ use of prior authorization for children’s health care services.
In a statement submitted May 8 for a Senate Budget Committee hearing on reducing administrative burden in health care, AHA urged Congress to streamline the prior authorization process in Medicare Advantage.
Challenging prior authorization policy requirements were addressed in an AHA Annual Membership Meeting panel discussion moderated by Marilyn Werber Serafini, executive director for the Health Program at the Bipartisan Policy Center.
The Change Healthcare cyberattack was a significant event that caught many off guard, said the Centers for Medicare & Medicaid Services Administrator Chiquita Brooks-LaSure, reiterating the agency’s commitment to supporting impacted hospitals. Brooks-LaSure stated the Administration is…
People enrolled in Medicare Advantage are more likely than those in traditional Medicare to report delays in care due to needed insurance approvals, according to a survey released Feb. 22 by the Commonwealth Fund, with 13% of traditional Medicare enrollees reporting associated delays compared with…
The CMS Feb. 6 released a Frequently Asked Questions document pursuant to the calendar year 2024 Medicare Advantage final rule, which went into effect Jan. 1.
Andrea Preisler, AHA’s senior associate director of administrative simplification policy, explains why the recent final rule requiring Medicare Advantage, Medicaid and federally facilitated Marketplace plans to streamline their prior authorization processes should help reduce the burden on…
The CMS Jan. 17 finalized new regulations intended to streamline and reduce the burden associated with health plan prior authorization processes.