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Letter on Notice of Proposed Rule Making Regarding Adoption of Standards for Prior Authorization Attachments
Our organizations urge CMS to not proceed with implementing the prior authorization (PA) attachment standards provisions of the NPRM due to conflicting regulatory proposals that would set the stage for multiple PA electronic standards and workflows and create the very same costly burdens that administrative simplification seeks to alleviate.
Members of Congress urge CMS to further streamline prior authorization
A bipartisan group of 233 representatives and 61 senators called on the Centers for Medicare & Medicaid Service to enhance its proposal to streamline prior authorization processes in Medicare Advantage, Medicaid and the federally-facilitated Marketplace to require real-time electronic decision-making for routinely approved services, responses for emergency procedures within 24 hours and additional transparency.
ACT NOW: House and Senate Hearings this Week to Focus on Key Hospital and Health System Issues
Several House and Senate committees will hold hearings this week on a variety of issues that affect hospitals and health systems.
CMS Finalizes CY 2024 Medicare Advantage Rule
CMS April 5 finalized its Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program for Contract Year (CY) 2024.
AHA comments on proposed HIPAA transaction standards for health care attachments
The Department of Health and Human Services should adopt its proposed standard for claims attachments to help improve claims processing and eliminate unnecessary burdens on health care providers, AHA said in comments submitted today.
AHA urges CMS to finalize prior authorization rule
AHA today urged the Centers for Medicare & Medicaid Services to quickly finalize a proposed rule that would require Medicare Advantage, Medicaid and federally-facilitated Marketplace plans to streamline their prior authorization processes, but urged the agency to adequately enforce and monitor the requirements and test and vet any electronic standards before mandating their adoption.
AHA Comments on the Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule
AHA Comments on the Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule
Use Model Comment Letter to CMS on Interoperability and Prior Authorization Rule
The Centers for Medicare & Medicaid Services (CMS) Dec.
CMS Proposed Rules on Prior Authorization and Medicare Advantage Jan 24
AHA staff will summarize the key provisions of the Medicare Advantage proposed rules, provide an opportunity for Q&A, and solicit hospital and health system input into AHA commentary and advocacy.
CMS Issues Proposed Rule for CY 2024 Medicare Advantage, Prescription Drug Plans
The Centers for Medicare & Medicaid Services (CMS) Dec. 14 released its proposed Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Program for Contract Year (CY) 2024. The proposed rule would increase oversight of Medicare Advantage (MA) plans and better align them with Traditional Medicare, address access gaps in behavioral health services and further streamline prior authorization processes, supplementing a separate proposal last week.