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AHA provides recommendations to HHS, CMS for insurers to adhere to prior authorization pledge
The AHA Sept. 29 sent recommendations to the Department of Health and Human Services and the Centers for Medicare & Medicaid Services to help ensure insurance plans adhere to the agencies’ health insurer pledge to reform prior authorization processes.
AHA Supports Administration Facilitating Health Insurer Pledge to Reform Prior Authorization
AHA supports the Administrations role in facilitating the health insurer pledge to reform prior authorization processes announced on June 23.
Breaking the Claims Denials Cycle
Prevent costly denials with AI-driven front-end tech and CDI tools to catch errors early and apply real-time payer strategies to boost outcomes.
CMS Innovation Center releases FAQ on prior authorization program pilot
The Centers for Medicare & Medicaid Services Innovation Center Aug. 12 released an FAQ on the Wasteful and Inappropriate Service Reduction Model, a six-year technology-enabled prior authorization program pilot.
Regulatory Advisory: Health Data, Technology and Interoperability (HTI-4) FY 2026 Final Rule
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 CMS and ASTP/ONC Request for Information Re: The Health Technology Ecosystem
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.
CMS announces new prior authorization program pilot
The Centers for Medicare & Medicaid Services June 27 announced the rollout of a 6-year technology-enabled prior authorization program pilot.
HHS announces initiative with insurers to streamline prior authorizations
The Department of Health and Human Services June 23 announced an initiative coordinated with multiple health insurance companies to streamline prior authorization processes for patients covered by Medicare Advantage, Medicaid managed care plans, Health Insurance Marketplace plans and commercial plans.
GAO says CMS should target behavioral health services in prior authorization audits
The Government Accountability Office May 29 released a report recommending the Centers for Medicare & Medicaid Services target behavioral health services when auditing Medicare Advantage plans’ use of prior authorization.
AHA Senate Letter Supporting Improving Seniors’ Timely Access to Care Act
AHA expresses support for Senate legislation, the Improving Seniors’ Timely Access to Care Act.