Prior Authorization

Oct 21, 2021
Inefficient prior-authorization processes, slow turnaround times, lack of transparency and inconsistent requirements by payers can lead to dangerous delays in patient access.
Oct 20, 2021
The American Hospital Association expresses support of the Improving Seniors’ Timely Access to Care Act of 2021 (S. 3018).
Oct 18, 2021
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…
Jan 19, 2021
At a Glance  The Centers for Medicare & Medicaid Services (CMS), in coordination with the Office of the National Coordinator for Health Information Technology (ONC), on Jan. 15 released a final rule that builds on efforts to improve the electronic exchange of health care information,…
Dec 18, 2020
Sens. Sherrod Brown, D-Ohio, and John Thune, R-S.D., introduced the Improving Seniors' Tmely Access to Care Act (S. 5044), bipartisan legislation that would require Medicare Advantage plans to establish an electronic prior authorization system and provide “real-time” decisions for routine services…
Dec 11, 2020
At a Glance The Centers for Medicare & Medicaid Services (CMS), in coordination with the Office of the National Coordinator for Health Information Technology (ONC), Dec. 10 proposed new regulations that would build on efforts to improve the electronic exchange of health care information,…
Dec 11, 2020
AHA statement on CMS prior authorization rule from Senior Vice President for Public Policy Analysis and Development Ashley Thompson