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 would like to provide feedback on sections of H.R. 4822, the “Health Care Price Transparency Act of 2023,” as well as H.R. 3284, the “Providers and Payers COMPETE Act.”
A bipartisan group of 233 representatives and 61 senators called on the Centers for Medicare & Medicaid Service to enhance its proposal to streamline prior authorization processes in Medicare Advantage, Medicaid and the federally-facilitated Marketplace to require real-time electronic decision-…
Several House and Senate committees will hold hearings this week on a variety of issues that affect hospitals and health systems.
CMS April 5 finalized its Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program for Contract Year (CY) 2024.
The Department of Health and Human Services should adopt its proposed standard for claims attachments to help improve claims processing and eliminate unnecessary burdens on health care providers, AHA said in comments submitted today.
AHA today urged the Centers for Medicare & Medicaid Services to quickly finalize a proposed rule that would require Medicare Advantage, Medicaid and federally-facilitated Marketplace plans to streamline their prior authorization processes, but urged the agency to adequately enforce and monitor…
AHA Comments on the Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) Dec. 6 released a proposed rule to improve the electronic exchange of health care data and streamline processes related to prior authorization. The proposed rule places new requirements on Medicare Advantage (MA) organizations; state…
AHA staff will summarize the key provisions of the Medicare Advantage proposed rules, provide an opportunity for Q&A, and solicit hospital and health system input into AHA commentary and advocacy.
The Centers for Medicare & Medicaid Services (CMS) Dec. 14 released its proposed Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program for Contract Year (CY) 2024. The proposed rule would increase oversight of Medicare Advantage (MA) plans and…