The AHA commented March 13 on the Centers for Medicare & Medicaid Services’ proposed Notice of Benefit and Payment Parameters for 2027. The AHA supported CMS’ interest in creating more innovative coverage options but expressed concern that non-network plan attestations are not a strong enough guardrail to ensure adequate payments and patient access to care. The AHA also expressed concerns about expanding access to catastrophic plans, noting that they do not provide true protection against catastrophic costs. Additionally, the AHA shared recommendations on the maximum annual limit on cost-sharing, network adequacy standards and essential community provider requirements, and the medical loss ratio. 

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The Medicaid and CHIP Payment and Access Commission March 12 released its March 2026 report to Congress. The first chapter includes a recommendation to…
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The Centers for Medicare & Medicaid Services has released a toolkit that outlines strategies for states to strengthen access to behavioral health services…
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In a letter to the editor published March 3 by KFF Health News, Jim Prister, president and CEO of RML Specialty Hospital and chair of the AHA Post-Acute…
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The Centers for Medicare & Medicaid Services Feb. 9 released its 2027 proposed standards for the health insurance marketplaces, including the issuers and…
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A KFF survey published today found that people view prior authorization as the biggest challenge beyond costs when navigating the health care system. In terms…
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A KFF analysis released Jan. 28 found that Medicare Advantage insurers made nearly 53 million prior authorization determinations in 2024, an increase…