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AHA urges Senate Budget Committee to streamline prior authorization process in hearing on reducing administrative burden in health care

In a statement submitted May 8 for a Senate Budget Committee hearing on reducing administrative burden in health care, AHA urged Congress to streamline the prior authorization process in Medicare Advantage.

Health care leaders examine prior authorization policies

Challenging prior authorization policy requirements were addressed in an AHA Annual Membership Meeting panel discussion moderated by Marilyn Werber Serafini, executive director for the Health Program at the Bipartisan Policy Center.

CMS administrator highlights response to Change Healthcare cyberattack, prior authorization improvements

The Change Healthcare cyberattack was a significant event that caught many off guard, said the Centers for Medicare & Medicaid Services Administrator Chiquita Brooks-LaSure, reiterating the age

Protecting Patient Care with Enhanced Medicare Advantage Oversight and Prior Authorization Changes

For many people, choosing an MA plan is a life-changing event and a significant act of trust, counting on the payer they selected to provide the pre-agreed upon coverage for either current medical needs or those that may arise.
Member

CMS Issues Frequently Asked Questions Related to CY 2024 Medicare Advantage Final Rule

The CMS Feb. 6 released a Frequently Asked Questions document pursuant to the calendar year 2024 Medicare Advantage final rule, which went into effect Jan. 1.

Survey: MA enrollees more likely to report care delays due to prior authorization

People enrolled in Medicare Advantage are more likely than those in traditional Medicare to report delays in care due to needed insurance approvals, according to a survey released Feb. 22 by the Commonwealth Fund, with 13% of traditional Medicare enrollees reporting associated delays compared with 22% of MA enrollees.

AHA blog: What CMS’ prior authorization final rule means for hospitals, patients

Andrea Preisler, AHA’s senior associate director of administrative simplification policy, explains why the recent final rule requiring Medicare Advantage, Medicaid and federally facilitated Marketplace plans to streamline their prior authorization processes should help reduce the burden on hospitals and clinicians and speed needed care for patients.

AHA Statement on the CMS Final Rule on Prior Authorization

Rick PollackPresident and CEOAmerican Hospital Association

CMS finalizes prior authorization rule; hospital event highlights need for rule 

The Centers for Medicare & Medicaid Services Jan. 17 released a final rule requiring Medicare Advantage, Medicaid and federally facilitated Marketplace plans to streamline their prior authorization processes. AHA has urged the agency to finalize the rule to alleviate provider burden and ensure timely access to care for patients. 
Member

Interoperability and Prior Authorization Final Rule

The CMS Jan. 17 finalized new regulations intended to streamline and reduce the burden associated with health plan prior authorization processes.