Learn more about the ongoing effects of prior authorization on patients and physicians over the years. Explore relevant resources and news.
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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.
News | Time
Erin Massey is a scientist at a biotech company, but recently, she’s had another practically full-time job: fighting with insurance. Erin shares her struggle with convincing her insurer to pay for her insomnia medication.
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 | 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
Explore the answers to frequently asked questions that you and your loved ones may have about the prior authorization process.
Resource | AMA
Dive into how the flawed prior authorization system impacts the workplace by exploring the statistics, case studies and frequently asked questions included in this toolkit.
Resource | AMA
This chart outlines the legislative updates in each state.
News | Medscape
Anthem denied Nathan Kirkland's coverage for histotripsy claiming it wouldn't improve his health. When his out-of-pocket expenses reached $250K and the insurer denied a liver transplant, he went to social media. After much time, money, and energy spent, Anthem finally reversed the denial—but by that time, it was too late.
News | AMA
The latest pledge by health plans to reform the onerous prior authorization process must be followed by concrete action that fulfills those promises. Read the call to action from American Medical Association President, Bobby Mukkamala, M.D.
Resource | CancerCare
This report shows that insurance red tape is widespread and can delay diagnosis and treatment, impose administrative burdens, lead to unexpected costs, and erode trust in the healthcare system for cancer patients.
News | AMA
With state and federal policymakers eyeing restrictions on health insurers’ use of the care-delaying cost-control process of prior authorization, the nation’s biggest carriers are pledging to make changes on a voluntary basis.
News | Time
Dr. Richard Menger, a neurosurgeon, was ready to operate on a 16-year-old with complex scoliosis. The surgery was scheduled for a Friday when Menger got the news: the teen’s insurer, Blue Cross Blue Shield of Alabama, had denied coverage for the surgery.
News | AMA
Bobby Mukkamala, M.D., President of the American Medical Association, credits agency officials and federal lawmakers for leadership and holding the industry accountable to address the urgent need to fix prior authorization.
News | KFF Health News
Health insurers issue millions of denials every year, and for Eric Tennant, he found himself stuck in a convoluted appeals process marked by long wait times, frustrating customer service encounters, and care that was deemed “not medically necessary.”
News | STAT News
Megan Bent’s father had been recovering at a rehabilitation facility after brain surgery. The medical team expected he would need to spend at least three months in the facility, but just three days later, he was denied care.
Resource | AMA
Dive into how the flawed prior authorization system impacts the workplace by exploring the statistics, case studies and frequently asked questions included in this toolkit.
News | AMA
Critical changes are needed to fix the time-wasting, care-delaying payer process. Highlighting a single patient's experience with prior authorization can catalyze reform.
News | Time
Erin Massey is a scientist at a biotech company, but recently, she’s had another practically full-time job: fighting with insurance. Erin shares her struggle with convincing her insurer to pay for her insomnia medication.
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.