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 | AMA
Physicians spend time and resources on administrative burdens like prior authorization, which interrupts care and harms patients—key factors in burnout. Recent AMA survey data supports that prior authorization is a major contributor to this issue.
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.
News | AMA
The new final rule by CMS aims to reform prior authorization, reducing patient care delays and easing administrative burdens on physicians, potentially saving practices $15 billion over the next decade.
News | Courier Journal
Bonnie Jean Feldkamp followed all the insurance-required steps and took the mandated medication instead of her rheumatologist's recommendation, which worsened her condition. She felt heartbroken, knowing it was preventable.
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.
News | New York Times
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Doctors often face barriers to necessary care due to prior authorization for insurance approval, leading to distressing stories from patients and physicians about its negative impact and treatment delays.
Resource | AMA
Dr. Harmon shares his personal experience with prior authorization.
News | AMA
Physicians see how prior authorization creates roadblocks that delay care, worsen health, and lead to urgent treatments, leaving patients vulnerable as they advocate for them.
News | AMA
Prior authorization has shifted from a rare tool to a routine cost-control process for insurance companies, often delaying care and wasting time, becoming second nature to payers in managing health care utilization.
News | Fierce Healthcare
The American Medical Association (AMA) and a bipartisan group of Congressional leaders are looking to stop unfair prior authorization practices from health plans.
News | AMA
With the American Medical Association’s support, bipartisan legislation was introduced in the House and Senate to streamline and standardize prior authorization in Medicare Advantage, following widespread backing in the last Congress.
News | MedCityNews
Hospitals are struggling with burdensome policies from insurers, affecting cash flow and patient safety. Executives urge federal regulators to enforce stricter rules for faster timelines and greater transparency in claims denial reasons.