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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.
Survey finds prior authorization viewed as greatest hurdle in navigating health care
A KFF survey published today found that peopl
Study examines increase in states banning prior authorization in private health plans for OUD medications
A Health Affairs study published Nov. 3 examined an increase in states banning prior authorizations in private insurance plans for opioid use disorder medications.
AHA shares concerns, recommendations with CMS on WISeR model
The AHA Oct. 23 recommended changes to the Centers for Medicare & Medicaid Services’ Wasteful and Inappropriate Services Reduction model to address multiple concerns.
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.
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.
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.