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Health Plan Accountability
Commercial health plan abuses must be addressed to ensure fair coverage for patients and providers. The AHA has worked to hold health plans accountable through letters, statements, white papers and member updates.
AHA Comments on CMS' Proposed Notice of Benefit and Payment Parameters for 2027
AHA comments on the Centers for Medicare & Medicaid Services’ (CMS’) proposed Notice of Benefit and Payment Parameters for 2027.
Hospitals Face Increased Costs of Caring for Patients
This week, the AHA released an updated Costs of Caring report, which provides a data-driven assessment of the structural drivers of hospital care cost growth.
Contact Rep. Before March 18 E&C Subcommittee on Affordability
This is the next in a series of hearings examining health care costs and exploring options to make care more affordable.
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.
Health Plan Accountability Update: October 2025
The AHA May 29 submitted a letter to the Centers for Medicare & Medicaid Services responding to a request for information regarding Medicare Advantage data, urging CMS to increase oversight of the program.
Fact Sheet: Hospital Outpatient Department Billing Requirements
Congress is considering legislation that would change current billing practices for Medicare and the commercial insurance market to require each off-campus hospital outpatient department (HOPD) to be assigned a unique NPI as a condition of payment.
Get answers to your questions on health care affordability.
Health care costs can feel confusing, especially when bills arrive. Not every medical bill is hospital-related, but below are answers to some common questions about hospital care.
Extend The Enhanced Premium Tax Credits to Preserve Critical Health Coverage for Millions of Americans
The enhanced premium tax credits (EPTCs) help middle-class Americans purchase affordable, comprehensive coverage on the Health Insurance Marketplace. These tax credits are set to expire at the end of 2025, putting millions of families at risk of higher costs and coverage losses.
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.