American Hospital Association September 20, 2024
There will always be administrative costs associated with operating a hospital. But the lion’s share of a hospital’s resources should be devoted to doing what hospitals do best: provide safe, accessible and exceptional patient care to anyone who needs it.
That may seem self-evident, but as documented in a new AHA report released this month, that mission is coming under increasing strain because of skyrocketing administrative costs and burdensome commercial insurer practices that often delay and deny patient care.
For example, many commercial insurers now demand prior authorization for a growing array of services and the use of step therapy or “fail-first policies” that delay patients from getting the most appropriate care. Between 2022 and 2023, care denials increased an...