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
Benefit plans with excessive prior authorization requirements can block access to care that employers and their employees have already paid for through subsidies and premiums. Learn about the questions you should ask during the next benefit contracting season.
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 | Federation of American Hospitals
Prior authorization related to Medicare Advantage Plans is becoming a major stumbling block in patient care.
News | ProPublica
After a college student finally found a treatment that worked, the insurance giant decided it wouldn’t pay for the costly drugs. His fight to get coverage exposed the insurer’s hidden procedures for rejecting claims.
News | ProPublica
Internal documents and former company executives reveal how Cigna doctors reject patients’ claims without opening their files.
News | The Washington Post
Many patients seeking better drug treatments are being rejected by their insurance companies.
News | Kaiser Family Foundation
While prior authorization has long been used as a tool to contain spending and prevent people from receiving unnecessary or low-value services, there are some concerns that current prior authorization requirements and processes may create barriers and delays to receiving necessary care, as well as exacerbate complexity for patients and their providers.
News | The Washington Post
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As a health and science reporter, Carolyn Y. Johnson has studied the maze of U.S. health care. But when her son got sick, she still got lost.
News | Roll Call
Providers say Medicare Advantage plans make it difficult for enrollees to receive much-needed, evidence-backed opioid treatment.
Resource | AMA
In this video, Dr. Brian J. Dixon highlights the time-consuming and wasteful nature of prior authorizations in psychiatry. He emphasizes that patient care should never be delayed due to insurance companies prioritizing their profits over patient needs.
News | American Medical Association
During an early surgical rotation, Kansas City medical student Victoria Gordon felt a wave of heat flash over her entire body during a Caesarean section she was assisting.
News | Healthcare Dive
In addition to a backlog of more than 9,000 prior authorization requests, L.A. Care failed to properly address more than 67,000 grievances or appeals from its members.
News | Salon
Physicians say the process to get approval from insurance companies before treating patients has gotten out of hand.
News | Fierce Healthcare
Doing your research is a good consumer practice for most purchases, but it’s especially important when choosing health insurance.