Medical Economics November 12, 2024
Key Takeaways
- The AMA is pushing for stronger regulations against insurers denying payments for pre-authorized services, aiming to protect patients and physicians from disruptions.
- A new policy, supported by 700 physicians and medical students, advocates for federal prohibition and legal action against inappropriate post-service payment denials.
- The AMA’s “Fix Prior Auth” campaign has led to reforms by CMS and legislative efforts to streamline prior authorization processes and reduce patient care delays.
- The AMA continues to advocate for a balanced approach to prior authorization, focusing on reducing administrative burdens and allowing physicians to prioritize patient care.
New policy would ensure AMA support for a federal prohibition on the inappropriate denial of payment for care that is necessary and has...
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