Prior Authorization
黑料正能量 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.
UnitedHealthcare Aug. 1 published a list of procedures no longer subject to prior authorization effective either Sept. 1 or Nov. 1, 2023.
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鈥
The 黑料正能量 Association would like to provide feedback on sections of H.R. 4822, the 鈥淗ealth Care Price Transparency Act of 2023,鈥 as well as H.R. 3284, the 鈥淧roviders and Payers COMPETE Act.鈥
A bipartisan group of 233 representatives and 61 senators called on the Centers for Medicare & Medicaid Service to enhance its proposal to streamline prior authorization processes in Medicare Advantage, Medicaid and the federally-facilitated Marketplace to require real-time electronic decision-鈥
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.
The Department of Health and Human Services should adopt its proposed standard for claims attachments to help improve claims processing and eliminate unnecessary burdens on health care providers, AHA said in comments submitted today.
AHA today urged the Centers for Medicare & Medicaid Services to quickly finalize a proposed rule that would require Medicare Advantage, Medicaid and federally-facilitated Marketplace plans to streamline their prior authorization processes, but urged the agency to adequately enforce and monitor鈥
AHA Comments on the Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule
The Centers for Medicare & Medicaid Services (CMS) Dec. 6 released a proposed rule to improve the electronic exchange of health care data and streamline processes related to prior authorization. The proposed rule places new requirements on Medicare Advantage (MA) organizations; state鈥