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AHA Letter to Senate Subcommittee Leadership on Appropriations Priorities for FY 2025
AHA Senate letter regarding funding for health care programs for fiscal year (FY) 2025.
AHA Letter to House Subcommittee Leadership on Appropriations Priorities for FY 2025
AHA letter to the House leadership on funding for health care programs for fiscal year (FY) 2025.
Following NYT Investigation, AHA Urges DOL to Investigate Actions of MultiPlan and Commercial Insurers
The American Hospital Association (AHA) writes regarding a recent The New York Times investigation into the disturbing incentives for data analytics firm, MultiPlan, and large commercial insurers like UnitedHealthcare, Aetna and Cigna, to cut reimbursement rates for care provided to employees of companies with self-funded employer insurance plans and increase costs for patients receiving that care.
AHA Response to Employee Retirement Income Security Act (ERISA) RFI
Health insurers have gone through dramatic vertical consolidation since ERISA was signed into law. Over the last decade, the major corporate insurers have spent billions of dollars acquiring not only other plans, but also providers, pharmacy service companies, and health technology and claims adjudication systems.
AHA Urges CMS to Swiftly Correct Medicare Advantage Plan Policies That Appear to Violate CY 2024 Rule
The American Hospital Association is deeply concerned that these practices will result in the maintenance of the status quo where MAOs apply their own coverage criteria that is more restrictive than Traditional Medicare proliferating the very behavior that CMS sought to address in the final rule, resulting in inappropriate denials of medically necessary care and disparities in coverage between beneficiaries in MA and those in the Traditional Medicare program.
AHA Urges MedPAC to Examine Medicare Advantage Denials, Hospital Market Basket
We appreciate the Medicare Payment Advisory Commission’s (MedPAC) November meeting discussions on Medicare Advantage (MA) prior authorization and network management. As MedPAC begins its discussions on payment adequacy for the Medicare program, we outline concerns about the impact that the shifting labor force and costs have had on hospitals and health systems, including whether the current market basket methodology is adequate to capture these changes.
AHA Comments on CMS’ Proposed Medicare Advantage Policies for 2025
AHA comments on the CMS proposed rule for policy and technical changes to the Medicare Advantage program in contract year 2025.
AHA Supports CMS' Health Insurance Marketplace Proposed Rules
The Honorable Chiquita Brooks-LaSure Administrator Centers for Medicare & Medicaid ServicesHubert H. Humphrey Building
AHA Comments on the Proposed Rule to Establish Disincentives for Providers Found to Have Committed Information Blocking
AHA provides comments to the Centers for Medicare & Medicaid Services and the Office of the National Coordinator for Health Information Technology on their proposed rule to establish disincentives for providers found to have committed information blocking.
AHA Expresses Support for the SUPPORT for Patients and Communities Reauthorization Act (H.R. 4531)
AHA expresses support for the SUPPORT for Patients and Communities Reauthorization Act (H.R. 4531).