Our organizations urge CMS to not proceed with implementing the prior authorization (PA) attachment standards provisions of the NPRM due to conflicting regulatory proposals that would set the stage for multiple PA electronic standards and workflows and create the very same costly burdens that administrative simplification seeks to alleviate.
Prior Authorization Advocacy and Legislation
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The American Hospital Association would like to provide feedback on sections of H.R. 4822, the “Health Care Price Transparency Act of 2023,” as well as H.R. 3284, the “Providers and Payers COMPETE Act.”
Several House and Senate committees will hold hearings this week on a variety of issues that affect hospitals and health systems.
CMS April 5 finalized its Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program for Contract Year (CY) 2024.
AHA Comments on the Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) Dec.
The Centers for Medicare & Medicaid Services (CMS) Dec. 14 released its proposed Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program for Contract Year (CY) 2024. The proposed rule would increase oversight of Medicare Advantage (MA) plans and better align them with Traditional Medicare, address access gaps in behavioral health services and further streamline prior authorization processes, supplementing a separate proposal last week.
The Centers for Medicare & Medicaid Services (CMS), proposed new regulations that would streamline and reduce the burden associated with health plan prior authorization processes and improve the electronic exchange of health care information.
The AHA appreciates the opportunity to comment on the Centers for Medicare & Medicaid Services’ (CMS) “Make Your Voice Heard” Request for Information (RFI) on promoting equity and efficiency in
AHA comments in response to the Centers for Medicare & Medicaid Services’ Request for Information regarding the Medicare Advantage program.
In a letter to Representatives Richard Neal, and Kevin Brady, AHA voices support for the Improving Seniors’ Timely Access to Care Act of 2022 (H.R. 8487).
AHA expresses concerned about some MA plans’ inappropriate restrictions on beneficiary access to medically necessary care, including those highlighted in a recent report issued by the Department of Health and Human Services’ Office of Inspector General (HHS-OIG),
AHA's comments to the Office of the National Coordinator for Health Information Technology, expressing strong support for creating a useable, scalable and efficient solution to help reduce prior authorization impacts on patients and providers.
The Centers for Medicare & Medicaid Services (CMS) Jan.
The Office of the National Coordinator for Health Information Technology (ONC) Jan. 21 issued a request for information (RFI) regarding prior authorization standards,
The Centers for Medicare & Medicaid Services (CMS) yesterday released proposed regulations for the 2023 Medicare Advantage (MA) and Part D plan year.
The American Hospital Association expresses support of the Improving Seniors’ Timely Access to Care Act of 2021 (S. 3018).
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 have demonstrated problematic prior authorization usage in the past.
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 to facilitate the movement of patients from general acute-care hospitals to post-acute care and other clinically-appropriate settings, including skilled nursing facilities, long-term care hospitals, inpatient rehabilitation facilities, and home health agencies.
The American Hospital Association voices support of the Improving Seniors’ Timely Access to Care Act of 2021 (H.R. 3173).