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 | Kaiser Health News
Bram Sable-Smith got a hurried voicemail from his pharmacist in Wisconsin the day before Thanksgiving letting him know that his insurance was refusing to cover his insulin.
News | Medscape
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Ramy Sedhom, MD, a medical oncologist and a palliative care physician at Penn Medicine Princeton Health in Plainsboro, New Jersey, will always wonder if prior authorization refusals led to his patient's death.
News | Un-covered
It was another big quarter for UnitedHealth Group, the nation’s largest health insurer. On October 14, the company announced an eye-popping, Wall Street-pleasing $5.7 billion in profits between June 1 and September 30. The earnings were so unexpectedly positive that investors rushed to buy more shares, pushing the share price to an all-time high.
News | ABC 27
Dealing with medical issues is hard enough. Having to go through a lengthy approval process before getting treated — can make it worse.
News | STAT NEWS
The news Jennifer G. and her husband got from her medical team was devastating. If you had come to us a month sooner, they said, we would have used chemotherapy to treat your cancer. But because of the delay, we have to amputate your leg, your hip, and your pelvis.
News | STAT
New Year’s Day marks a challenging time for health care providers as it brings a flood of requests to renew prior authorizations. This bureaucratic tactic from insurers tests our commitment to the treatments we select for our patients.
News | Medical Economics
Prior authorizations and poorly designed EHRs are top frustrations for physicians. Dr. Jack Resneck, a dermatologist and former AMA board chair, notes that their expanding scope and time demands negatively impact patient care.
News | AMA Ed Hub
Interview with Jack Resneck, MD, author of Refocusing Medication Prior Authorization on Its Intended Purpose
News | JAMA Network
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While prior authorization requirements can serve valid purposes, a concerning issue arises when plans change their formularies due to new kickback or discount arrangements, a practice that seems to occur annually.
News | The Philadelphia Inquirer
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As an active 48-year-old athlete, I don’t fit the mold of your typical cardiac patient. I exercise 6-7 days per week and have normal weight and blood pressure. But when I started having chest pains in November, I knew something was wrong.
My cardiologist, Dr. Kenneth Mendel, ran a number of tests. My EKG came back fine. My stress test replicated my symptoms but did not show the changes usually seen when blood flow to the heart is restricted.
News | The Washington Post
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We know how important it is to have insurance so that we can get health care. As a physician, parent and patient, I cannot overemphasize that having insurance is not enough.
News | The Baltimore Sun
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Colin J. Haller was smart, funny, ambitious and athletic. And he was just 25 when he was diagnosed with metastatic melanoma.
The Maryland native had already launched a successful internet marketing business. An outstanding student, he was applying to medical schools to pursue his dream of a career in medicine when he got that terrible news. His treatment plan called for scans every three months to assess the progress of this deadliest form of skin cancer.