AHA comments on NAIC Health Care Affordability Issue Briefs.
Prior Authorization Advocacy and Legislation
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AHA comments on the CMS’ hospital outpatient prospective payment system and ambulatory surgical center payment system proposed rule for calendar year CY 2027.
The American Hospital Association shares the hospital field’s comments on legislation being marked up by the Energy and Committee on July 21.
While the AHA strongly supports CMS’ goal of modernizing prior authorization and extending interoperability requirements, the effectiveness of these policies will depend on thoughtful implementation that aligns with clinical workflows, ensures consistent payer behavior and meaningfully reduces administrative burden for providers.
The AHA supports efforts to reform prior authorization and reduce the significant administrative burden these practices impose on hospitals, clinicians and patients. Prior authorization requirements for prescription drugs, particularly specialty and high‑cost medications, frequently result in care delays, treatment interruptions, and substantial clinician and staff burden.
The American Hospital Association (AHA) provides the hospital perspective on the issues impacting health care workforce burnout before the Senate Special Committee on Aging.
AHA supports the Administrations role in facilitating the health insurer pledge to reform prior authorization processes announced on June 23.
The Centers for Medicare & Medicaid Services (CMS) July 31 issued its hospital inpatient prospective payment system (PPS) and long-term care hospital (LTCH) PPS final rule for fiscal year (FY) 2026.
AHA comments on the Centers for Medicare & Medicaid Services and Assistant Secretary for Technology Policy/Office of the National Coordinator for Health Information Technology Request for Information regarding the Health Technology Ecosystem.
AHA expresses support for Senate legislation, the Improving Seniors’ Timely Access to Care Act.
AHA expresses support House legislation, the Improving Seniors’ Timely Access to Care Act.
The AHA applauds the U.S. Department of Health and Human Services Office of Inspector General (HHS OIG) for your recently announced review of Medicare Advantage Organizations' Use of Prior Authorization for Post-Acute Care.
AHA expresses support for the Improving Seniors’ Timely Access to Care Act.
The AHA expresses support for the Improving Seniors’ Timely Access to Care Act.
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.
The CMS Jan. 17 finalized new regulations intended to streamline and reduce the burden associated with health plan prior authorization processes.
The Centers for Medicare & Medicaid Services (CMS) Jan. 17 finalized new regulations intended to streamline and reduce the burden associated with health plan prior authorization processes, promote greater transparency into medical necessity criteria, and improve the electronic exchange of health care information.
AHA Urges CMS to finalize the Improving Prior Authorization Processes Proposed Rule.
AHA voices support of the GOLD Card Act of 2023 (H.R. 4968).