Prior Authorization
American Hospital Association (AHA) resources on health care insurance prior authorization, the impact of insurers' delays and rejections on patients, and the cost of these delays to hospitals and health systems.
The AHA provided comments June 15 to the Centers for Medicare & Medicaid Services on its proposed rule establishing electronic standards for drug prior authorizations.
The Medicaid and CHIP Payment and Access Commission June 15 released its June 2026 report to Congress.
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…
The Centers for Medicare & Medicaid Services May 13 announced 29 health care organizations have pledged early participation in its electronic prior authorization initiative.
A majority of physicians say the prior authorization process continues to negatively impact patient outcomes and employee productivity, according to a survey released May 13 by the American Medical Association.
The Medicaid and CHIP Payment and Access Commission approved recommendations it will issue to Congress in its June report on oversight and increased transparency of artificial intelligence usage for prior authorization.
The Centers for Medicare & Medicaid Services May 5 announced a new electronic prior authorization initiative as part of its Health Technology Ecosystem.
Rep. Greg Landsman, D-Ohio, a member of the House Energy and Commerce Committee and its Subcommittee on Health, spoke with Mike Abrams, president and CEO of the Ohio Hospital Association, about Landsman’s efforts in Congress to address issues currently facing the health care field. He spoke on the…
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…
The Centers for Medicare & Medicaid Services April 10 released a proposed rule that would establish electronic standards for drug prior authorizations.