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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.
AHA Urges Aetna to Rescind Level of Severity Inpatient Payment Policy
America’s hospitals and health systems are deeply concerned about Aetna’s recently announced “level of severity inpatient payment” policy.
AHA Details Legislative Priorities for Congressional Leaders
Hospitals and health systems are experiencing significant financial pressures that challenge their ability to provide 24/7 care for the patients and communities they serve. As Congress begins to focus on its end-of-the-year work, America’s hospitals and health systems respectfully request that you consider the following priorities.
U.S. uninsured rate increased between 2023 and 2024
The Census Bureau reported that the uninsured rate increased nationally to 8.2% in 2024 from 7.9% in 2023 based on data from the American Community Survey.
New Solution Helps to Address Unfair Commercial Health Care Plans
To help members reduce the significant operational challenges caused by some of these commercial payer issues, the AHA has also launched a new solution, the AHA Vitality Index.
CMS announces changes to AHEAD Model for states
The Centers for Medicare & Medicaid Services Innovation Center Sept. 2 announced changes to the Achieving Healthcare Efficiency through Accountable Design Model, including a new end date of Dec. 31, 2035.
Analysis projects increases in state uninsured rates following passage of budget reconciliation bill
A KFF analysis published Aug. 20 provides a state-by-state allocation of Congressional Budget Office estimates that 10 million people could be uninsured by 2034 following the passage of the budget reconciliation bill.
Federal agencies signal a shift in enforcement of short-term health insurance rules
The U.S. Departments of Labor, Health and Human Services, and the Treasury announced Aug. 7 that they are reconsidering the definition of short-term, limited-duration insurance through a formal rulemaking process.
Analysis finds ACA plans seek to more than double last year’s median proposed premium increase
A new analysis published Aug. 6 by the Peterson Center on Healthcare and KFF found that Health Insurance Marketplace insurers will propose a median premium increase of 18% for 2026.