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.
Certain commercial health insurer policies and administrative practices delay patient care, overburden clinicians and withhold critical payments from providers.
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.
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…
AHA comments in response to the Centers for Medicare & Medicaid Services’ Request for Information regarding the Medicare Advantage program.
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…
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).
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),
Medicare Advantage or MA Plans are another way for beneficiaries to get Medicare Part A and Part B coverage delivered through private insurance companies.
The AHA is committed to further identifying ways to improve health care system efficiency while providing the highest quality of care.
In comments submitted today to the Office of the National Coordinator for Health Information Technology, AHA said it “strongly supports creating a useable, scalable and efficient solution to help reduce prior authorization impacts on patients and providers.