5 signs of prior authorization reform progress, per the AMA

Becker's Healthcare April 16, 2024
Andrew Cass

The American Medical Association’s most recent survey found that 89% of physicians say prior authorization had a “significant or somewhat negative clinical impact,” but the organization said there are positive signs on the road to reform.

The AMA outlined five positive signs of progress in an April 15 article:

1. CMS finalized a rule in January to streamline the prior authorization process and improve the electronic exchange of health information which it estimates will save $15 billion over 10 years.

2. Nine states and Washington, D.C., passed prior authorization reform bills in 2023.

3. Major payers UnitedHealthcare and Cigna announced prior authorization cuts in 2023.

4....

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