Becker's Healthcare November 12, 2024
The American Medical Association is pushing for tighter protections over prior authorization requirements due to continued physician frustration.
Here are four things to know:
1. At a recent meeting, the AMA called for reforms and adopted new policies to reduce financial strain on providers and patients by ensuring preapproved care is paid without retrospective denials, according to a Nov. 12 news release shared with Becker’s.
2. Under the new policy, the AMA is directed to back a federal ban on insurers denying payment for precertified, medically necessary care. The AMA will also encourage legal action against insurers who inappropriately recoup or deny payments after services are rendered.
3. “Prior authorization, once granted, should be...
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