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.
News | USA Today
This graphic narrative tells the story of one patient’s struggle to get pain relief in his final days. For both patients and providers, prior authorization can feel like an unfair game they are designed to lose.
News | Benefits Pro
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The AMA is asking the Labor Department to apply Medicare Advantage plan-type rules, which has limits on repeat reviews for patients with chronic conditions, on ERISA plans.
News | MedPage Today
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Medicare Advantage plans' prior authorization rules and coverage criteria would become publicly available under a proposed rule by CMS.
News | AMA
Nearly everyone has a story of how prior authorization interfered with them or a loved one receiving necessary care. These testimonials are convincing state legislators to take action to fix the system.
News | ProPublica
America’s patients face prior authorization denials every day. Companies like Evicore profit from helping insurers deny patients the care they need.
News | AMA
A majority of the members of the U.S. House of Representatives — both Democrats and Republicans — have officially co-sponsored the bipartisan Improving Seniors’ Timely Access to Care Act of 2024 (H.R. 8702).
News | Forbes
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Insurance companies are refusing to pay for some patient care, but the government is starting to take notice — and action. State and federal governments are considering and implementing proposals to reform the system.
News | AMA
The prior authorization appeals process is convoluted and intimidating, which discourages physicians and patients from fighting for necessary care.
News | STAT News
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A Senate investigation found that the nation’s three largest Medicare Advantage insurers increasingly refused to pay for rehabilitative care for seniors after adopting sophisticated technologies to aid in their coverage decisions.
News | AMA
The AMA is advocating for prior authorization reform in employer-sponsored health plans.
News | STAT News
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As of September 1, Medicare Advantage members who need PT, OT, or ST in a physician’s office or an outpatient hospital clinic will need to get approval from UnitedHealthcare.
News | AMA
Medicare Advantage denials are on the rise. Reform is necessary.