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.
Resource | AMA
This report by the Advisory Council on Employee Welfare and Pension Benefit Plans (ERISA Advisory Council) examines issues concerning group health plan claims and appeals processes, especially focused on employer-sponsored health benefits.
Resource | AMA
Prior authorization is overused and causes significant administrative burdens. To reduce prior authorization’s harmful impact, the AMA conducted significant research to reveal physician concerns over the real-life issues caused by this system.
Resource | AMA
Explore the answers to frequently asked questions that you and your loved ones may have about the prior authorization process.
Resource | AMA
This report details findings from a Senate investigation that found three of the largest Medicare Advantage insurers use artificial intelligence algorithms to aid in coverage decisions, leading to denials of coverage requests for seniors' rehabilitative care.
Resource | AMA
AMA President Jack Resneck Jr., MD, AMA Director of Administrative Simplification Initiatives Heather McComas, PharmD, and AMA Senior Legislative Attorney Emily Carroll, JD, dig further into the current state of prior authorization and how the AMA is working to fix it.
Resource | AMA
Dr. Harmon shares his personal experience with prior authorization.
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.
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
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.
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.