Learn more about the ongoing effects of prior authorization on patients and physicians over the years. Explore relevant resources and news.
Resource | AMA
To assess the ongoing impact the prior authorization process has on patients, physicians, employers and overall health care spending, the AMA annually conducts a nationwide survey of 1,000 practicing physicians from a wide range of practice settings.
Resource | AMA
Explore the answers to frequently asked questions that you and your loved ones may have about the prior authorization process.
News | AMA
Melissa Garretson, MD, discusses how to talk to patients about prior authorization, why prior authorization takes so long, and how the AMA is fighting to fix prior authorization policy. AMA Chief Experience Officer Todd Unger hosts.
News | Medscape
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A 21-year-old with a rare cancer had to wait for prior authorization approval for proton therapy, and as a result, she faced several complications, needing a tracheostomy and feeding tube.
Resource | AMA
Prior authorization increases workplace absenteeism, presenteeism, treatment abandonment and health care costs. Watch this video to learn more about the impacts prior authorization can have on employees.
Resource | AMA
In this video, AMA President Bruce A. Scott, MD, shares key takeaways from the AMA's recent prior auth survey, discusses physicians' concerns about prior authorization in health care and describes how prior authorization negatively impacts employers by reducing employee health and productivity.
News | KFF Health News
Prior authorization has become a chronic pain point for patients and doctors. Both Republicans and Democrats agree that prior authorization needs fixing, but patients are growing impatient waiting for reform.
News | The Hill
Rep. Mark Green (R-Tenn.) reintroduced a bill seeking to reform prior authorization requirements in Medicare, Medicare Advantage, and Part D prescription drug plans by requiring important decisions about treatment to be made by only specialty board certified physicians.
Resource | AMA
This report by the Advisory Council on Employee Welfare and Pension Benefit Plans (ERISA Advisory Council) examines issues concerning group health plan claims and appeals processes, especially focused on employer-sponsored health benefits.
News | AMA
Reducing the prior authorization burden that harms patients and frustrates physicians is an area of bipartisan agreement that Congress should tackle now.
News | AMA
Leaders at Geisinger wanted to reduce physician burnout so they tackled one of the biggest headaches in medical practice today: prior authorization. A pharmacy team now handles all requests, saving Geisinger clinics up to fours a week and boosting payer approval rates by 30%.
News | Axios
Optum Rx — which includes the pharmacy benefit manager of health care conglomerate UnitedHealth Group — is dropping annual reauthorization requirements for 80 drugs, which will eliminate more than 10% of overall pharmacy prior authorizations.
News | MedPage Today
Prior authorization requirements for patients undergoing primary total hip arthroplasty did not reduce costs, but did delay procedures, according to a prospective, single-center study.
News | AMA
Over 60% of physicians say unregulated AI tools systematically deny patients coverage for necessary care. The AMA is fighting to fix prior authorization.
News | Targeted Oncology
Prior authorizations have become a significant barrier to timely cancer care. At Orlando Health Cancer Institute, a centralized prior authorization model is addressing this growing challenge head-on.
News | Becker’s Payer Issues
In a March 1 notice to providers, UnitedHealthcare said it will eliminate prior authorizations for home health services that apply to Medicare Advantage and dual special needs plans in more than 30 states.