Learn more about the ongoing effects of prior authorization on patients and physicians over the years. Explore relevant resources and news.
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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.
News | Time
Erin Massey is a scientist at a biotech company, but recently, she’s had another practically full-time job: fighting with insurance. Erin shares her struggle with convincing her insurer to pay for her insomnia medication.
News | KFF Health News
Prior authorization has become a chronic pain point for patients and doctors. Both Republicans and Democrats agree that prior authorization needs fixing, but patients are growing impatient waiting for reform.
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
Explore the answers to frequently asked questions that you and your loved ones may have about the prior authorization process.
Resource | AMA
Dive into how the flawed prior authorization system impacts the workplace by exploring the statistics, case studies and frequently asked questions included in this toolkit.
Resource | AMA
This chart outlines the legislative updates in each state.
Resource | CancerCare
This report shows that insurance red tape is widespread and can delay diagnosis and treatment, impose administrative burdens, lead to unexpected costs, and erode trust in the healthcare system for cancer patients.
Resource | AMA
Dive into how the flawed prior authorization system impacts the workplace by exploring the statistics, case studies and frequently asked questions included in this toolkit.
Resource | AMA
Prior authorization increases workplace absenteeism, presenteeism, treatment abandonment and health care costs. Watch this video to learn more about the impacts prior authorization can have on employees.
Resource | AMA
In this video, AMA President Bruce A. Scott, MD, shares key takeaways from the AMA's recent prior auth survey, discusses physicians' concerns about prior authorization in health care and describes how prior authorization negatively impacts employers by reducing employee health and productivity.
Resource | ERISA Advisory Council
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 | U.S. Senate Permanent Subcommittee on Investigations
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.