Prior Authorization
黑料正能量 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 AHA urges the Centers for Medicare & Medicaid Services to revise and reissue recent proposed regulations streamlining prior authorization requirements within certain coverage programs; consider additional regulations to limit care delays; and conduct oversight and enforcement for plans who鈥
The Centers for Medicare & Medicaid Services (CMS) today issued a Health Plan Management System memo to all Medicare Advantage Organizations (MAO) and Medicare-Medicaid Plans to strongly encourage them to waive or relax plan prior authorization requirements and utilization management processes鈥
The 黑料正能量 Association voices support of the Improving Seniors鈥 Timely Access to Care Act of 2021 (H.R. 3173).
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,鈥
AHA comments on CMS鈥 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 鈥渞eal-time鈥 decisions for routine services鈥
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,鈥
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鈥 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.