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Resources and News

Learn more about the ongoing effects of prior authorization on patients and physicians over the years.
Explore relevant resources and news.

News | Medscape

A Life on the Line and $250K in Medical Debt Amid Insurer Denials

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

Action must follow pledges on prior authorization reform

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

2025 Red Tape Report by 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

Inside payers' latest plans to streamline prior authorization

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

How Health Insurance Monopolies Affect Your Care

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.

Resource | AMA

Video: How does prior authorization affect employees?

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.