Becker's Healthcare June 11, 2024
The American Medical Association House of Delegates approved new prior authorization reform policies during its annual meeting.
The policies include advocating for increased legal accountability for payers when prior authorization harms patients, according to a June 11 AMA news release shared with Becker’s. The AMA will also work to ensure that increased legal accountability is “not precluded by clauses in beneficiary contracts that may require pre-dispute arbitration for prior authorization determinations or place limitations on class action.”
The AMA is also continuing to push for payers to provide prior authorization notifications with detailed explanations regarding the rationale for denials, according to the report. New AMA policy...