MGMA Urges Action on Prior Authorization Reform Before Upcoming Affordability Hearings

Advocacy Letter

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1/20/2026

January 20, 2026

The Honorable Jason Smith Chairman Committee on Ways and Means U.S. House of Representatives 1139 Longworth House Office Building Washington, DC 20515
The Honorable Richard Neal Ranking Member Committee on Ways and Means U.S. House of Representatives 1129 Longworth House Office Building Washington, DC 20515

Re: Statement for the Record- Committee on Ways and Means Hearing on Lowering Health Care Costs for All Americans: An Examination of Health Insurance Affordability

Dear Chairman Smith and Ranking Member Neal,

The Medical Group Management Association (MGMA) thanks you for holding the hearing, Lowering Health Care Costs for All Americans: An Examination of Health Insurance Affordability on January 22, 2026, and inviting the CEOs from UnitedHealth Group, CVS Health, Elevance Health, the Cigna Group, and Ascendiun to testify. With a membership of more than 60,000 medical practice administrators, executives, and leaders, MGMA represents more than 15,000 medical group practices ranging from small private medical practices to large national health systems, representing more than 350,000 physicians. MGMA members are responsible for delivering care to hundreds of millions of patients annually, spanning primary care, specialty services, and rural health. They are at the forefront of improving access, efficiency, and quality of care in the U.S. healthcare system. MGMA’s diverse membership uniquely situates us to offer the following insights on factors that are driving up health insurance costs and policy recommendations to solve them.

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