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CMS Issues Proposed Notice of Benefit and Payment Parameters for 2027
The Centers for Medicare & Medicaid Services (CMS) Feb. 9 released its 2027 proposed standards for the health insurance marketplaces, including the issuers and brokers who assist marketplace enrollees.
AHA Before Senate Committee on Aging — the Doctor Is Out: How Washington's Rules Drove Physicians Out of Medicine
The American Hospital Association (AHA) provides the hospital perspective on the issues impacting health care workforce burnout before the Senate Special Committee on Aging.
House subcommittee hearing discusses impacts of drug pricing on health care costs
The House Energy and Commerce Subcommittee on Health today hosted a hearing titled “Lowering Health Care Costs for All Americans: An Examination of the Prescription Drug Supply Chain.”
CMS issues proposed notice of benefit and payment parameters for 2027
The Centers for Medicare & Medicaid Services Feb. 9 released its 2027 proposed standards for the health insurance marketplaces, including the issuers and brokers who assist marketplace enrollees.
Let’s End Commercial Insurer Barriers that Reduce Access to Care
Many commercial health insurance policies and practices often disrupt, delay and deny medically necessary care to patients.
Survey finds prior authorization viewed as greatest hurdle in navigating health care
A KFF survey published today found that peopl
Analysis: MA insurers made 53 million prior authorization determinations in 2024
A KFF analysis released Jan. 28 found that Medicare Advantage insurers made nearly 53 million prior authorization determinations in 2024, an increase from 49.8 million in 2023.
White paper explains use of mock claims for advanced explanation of benefits
The AHA Jan. 26 released a white paper on addressing challenges in implementing an advanced explanation of benefits, which requires coordination among multiple providers, health plans and IT systems.
The Mock Claim Proposal: A New Approach to Health Care Cost Transparency
The AHA and other stakeholders have proposed a practical and scalable solution: the mock claim proposal.
Commercial health insurer CEOs testify on health care affordability; AHA submits statements for House hearings
The House Energy and Commerce Subcommittee on Health and Ways and Means Committee Jan. 22 hosted hearings on health care affordability that included testimony from leaders of five major commercial health insurers: Stephen Hemsley, CEO of UnitedHealth Group, David Joyner, chairman and CEO of CVS Health, Gail Boudreaux, president and CEO of Elevance Health, David Cordani, president, CEO and chairman of the board of The Cigna Group, and Paul Markovich, president and CEO of Ascendiun. Both hearings focused on rising health care costs and access challenges under commercial coverage. The AHA shared statements with both committees that discussed the current landscape of affordability and how the insurance market has driven health care costs upward.