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 | 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.
News | The Journalist's Resource
Health insurance companies argue that prior authorization can reduce unnecessary procedures and health care costs. But doctors have concerns about the frequency of these requests, even for routine procedures, and the administrative burdens associated with them.
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.
Resource | AMA
This chart outlines the legislative updates in each state.
Resource | AMA
Given the fact that health plans will likely continue to use PA as a resource utilization control for the foreseeable future, the AMA offers you and your staff the following tips to help minimize the impact of PA on your practice in the current environment.
Resource | AMA
In 2017, an AMA-convened workgroup of medical societies, national provider associations and patient representatives released best practices for prior authorization and other utilization management programs.
Resource | AMA
The AMA has created a model bill that can be used to address prior authorization in state legislative processes.