MedCity News September 21, 2022
Marissa Plescia

AHA’s report comes after the U.S. House of Representatives passed the Improving Seniors’ Timely Access to Care Act, which would establish several requirements for the prior authorization process under MA plans. But AHA believes additional action is needed by the government.

Medicare Advantage plans use a series of policies that hurt Medicare beneficiaries, lead to physician burnout and bring up healthcare costs, the American Hospital Association (AHA) argued in a recent report. To combat these issues, AHA is calling for legislative action.

Specifically, AHA argues that some MA plans have stricter medical necessity criteria than traditional Medicare plans, use “excessive” prior authorization requirements, use unnecessary utilization management tools and require repetitive clinical documentation submissions for services.

“These practices result...

Today's Sponsors


Today's Sponsor


Topics: Congress / White House, Govt Agencies, Health System / Hospital, Insurance, Medicare Advantage, Provider, Survey / Study, Trends
Advocacy groups decry UnitedHealth's 'misleading' Medicare Advantage marketing
What's holding up the SCAN, CareOregon combination?
Patient advocates slam UHC over 'misleading' MA marketing
Senators urge CMS to collect more Medicare Advantage data
Medicare bills pass House committee: 3 things to know

Share This Article