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.
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,…
AHA comments on CMS’ proposed rule on prior authorization.
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.
AHA letter to Suzan DelBene regarding her work on the Improving Seniors’ Timely Access to Care Act of 2019 (H.R. 3107), bipartisan legislation that would establish requirements for the use of prior authorization under Medicare Advantage plans.