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AHA Center for Health Innovation Market Scan
Public

Should You Automate to Resolve Health Claim Denials?

AHA Center for Health Innovation Market Scan
Absent commercial health insurance companies fulfilling a recent promise to reform their prior authorization (PA) and claims-paying behaviors, what can hospitals and health systems do to combat increasing claim denials and their growing threat to clinical and financial sustainability?
AHA Center for Health Innovation, Health Insurance, Commercial Insurer Accountability
Guides and Reports
Member

Addressing Commercial Health Plan Challenges to Ensure Fair Coverage for Patients and Providers

Guides and Reports
This report documents the American Hospital Association’s (AHA) findings related specifically to prior authorization and payment delays and denials. This work is informed by two large surveys of hospitals, as well as interviews and group discussions with hundreds of hospital and health system leaders.
Commercial Insurer Accountability, Mental Health Parity and Addiction Equity Act (MHPAEA), Access to Behavioral Health, Capacity Planning