AHA calls for expanded audits, penalties in Medicare Advantage

Becker's Healthcare July 22, 2025
Alan Condon

The American Hospital Association has urged lawmakers to strengthen oversight of Medicare Advantage plans and streamline the prior authorization process, which it described as a major barrier to timely, medically necessary care for patients and a contributor to clinician burnout.

In a July 22 statement to the House Ways and Means Subcommittees on Health and Oversight, the AHA outlined specific reforms to address widespread issues with prior authorization denials and delays under Medicare Advantage, which now covers more than 32 million seniors.

Here are five key points from the AHA’s statement:

1. Make prior authorization more uniform and transparent. The AHA supports the Improving Seniors’ Timely Access to Care Act, bipartisan legislation that would establish an electronic standard for prior...

Today's Sponsors

Today's Sponsor