AHIP

Recent @nytimes and @statnews investigations, as well as warning signs from @USCBO and commentary from @dcexaminer, reinforce the same point: reforms to the No Surprises Act arbitration process are needed to rein in persistent, provider-driven abuse that is raising costs for consumers. ahip.org/news/articles/…

Employer-provided health coverage is a win for everyone: employees get affordable access to preventive care so health issues are caught early, when they're most treatable—and employers benefit from a healthier workforce. Learn more: ahip.org/initiatives/co…

The @dcexaminer Editorial Board is the latest voice to highlight provider-driven abuse of the No Surprises Act — another example of growing agreement on the need for policymakers to address flawed IDR incentives and protect consumers from price gouging. ahip.org/news/articles/…

Medicare Advantage delivers superior value for more than 35 million seniors — and new peer-reviewed research shows that it also helps lower costs in fee-for-service Medicare, a spillover effect that can help strengthen Medicare’s long-term sustainability. ahip.org/news/articles/…

A new @nytimes investigation shows how misuse of the No Surprises Act has led to surgical assistants earning up to 25 times what surgeons earn for the same procedure. It’s the latest example of provider-driven abuse of the law’s arbitration process. nytimes.com/2026/06/29/ups…

@CMSGov It’s the latest evidence that prices set by brand drugmakers and higher hospital costs are root causes of the healthcare affordability crisis.

New from @CMSGov: Healthcare spending rose to $5.7T in 2025. In addition to ever-higher hospital costs and other factors, experts found demand for high-cost brand drugs was a major driver of the increase. healthaffairs.org/doi/10.1377/hl…

Health plans have committed to reduce and simplify prior authorization, but what does that mean for individuals? An interconnected digital experience, less friction and more peace of mind.

Experts across the political spectrum agree hospital prices are a key factor driving the healthcare affordability crisis. A new White House report finds Americans would pay billions less if policymakers blocked hospital systems’ anti-competitive practices. ahip.org/news/articles/…

Health plans have set an industry goal of 80% of prior authorization approvals happening at the point of care, before the patient has left the office. It’s time to modernize this process and move away from the fax machine.

Health plans are committed to providing peace-of-mind to people changing plans. Plans have come together to say that if an individual has an existing approved prior authorization, it will stay with them.

Medicaid managed care covers more than three quarters of #Medicaid beneficiaries. As the program undergoes significant changes, here's what the evidence and the experience of more than 60 million Americans shows. ahip.org/news/articles/…

More than nine in ten medical claims do not require prior authorization. In the narrow set of cases where prior authorization is used, it is an important safeguard against healthcare waste.

Provider-driven abuse of the No Surprises Act’s arbitration process may cause higher healthcare costs for Americans, warns the @USCBO. Policy action is needed to protect consumers. ahip.org/news/articles/…

One out of four healthcare dollars doesn’t add value, and prior authorization is one tool to help address that. Prior auth is a safeguard to help reduce patients’ exposure to low-value, unsafe or inappropriate care, ultimately leading to better health outcomes for patients.

Learn more: ahip.org/news/articles/…

After health plans made a set of voluntary commitments to streamline, simplify and reduce prior authorization, we can report an 11% reduction across a range of medical services, representing 6.5 million fewer prior authorizations.

New reports by OIG omit key facts and paint a flawed picture of #MedicareAdvantage (MA). More than 35M Americans choose MA because it provides better, more affordable care—including helping seniors transition to high-quality post-acute care. ahip.org/news/press-rel…

Hospital spending now tops $1.6 trillion — the single largest driver of insurance premiums. Anticompetitive hospital consolidation, unpredictable pricing, and private equity takeovers are fueling the rise at Americans' expense. x.com/larry_levitt/s…

Brand drugmakers hiked list prices an average of 81% after U.S. market entry, according to @AARP. Their analysis confirms that brand drugmakers continue to charge Americans far more than consumers in any other country. ahip.org/news/articles/…