AHA Comments on CMS’ Proposed Rule on Prior Authorization

January 4, 2021

The AHA today praised a Centers for Medicare & Medicaid Services’ proposed rule that would remove inappropriate barriers to patient care by streamlining the prior authorization processes for the impacted health plans; however the association expressed deep disappointed that CMS chose not to include Medicare Advantage plans, “many of which have implemented abusive prior authorization processes that act as a detriment to the provision of efficient and timely patient care,” in the rule.  

Related Resources

AHA Center for Health Innovation Market Scan
Humana recently said it plans to open about 100 new primary care clinics in a second joint venture with the private equity firm Welsh, Carson, Anderson…
Letter/Comment
Public
AHA urges CMS to take swift action to hold Medicare Advantage (MA) plans accountable for inappropriately and illegally restricting beneficiary access to…
Advancing Health Podcast
Public
Medicare Advantage or MA Plans are another way for beneficiaries to get Medicare Part A and Part B coverage delivered through private insurance companies.
Letter/Comment
Public
AHA letter to Representatives Eshoo and Fitzpatrick, the AHA expressing support their legislation, H.R.7236, Strengthen Kids’ Mental Health Now Act of 2022.
Letter/Comment
On behalf of nearly 5,000 member hospitals, health systems and other health care organizations, clinical partners, and the 43,000 health care leaders who…
Letter/Comment
On behalf of nearly 5,000 member hospitals, health systems and other health care organizations, clinical partners, and the 43,000 health care leaders who…