HealthExec July 30, 2024
Prior authorization is frustrating to clinicians and a leading cause of burnout, and a new survey from the American Medical Association (AMA) shows it also frustrates patients to the point of abandoning care. The the AMA’s annual nationwide prior authorization survey of 1,000 practicing physicians also sheds light on other PA impacts, including actually raising healthcare costs due to additional patient visits and emergency hospitalization of patients because they could not be treated sooner.
Prior authorizations (PAs) have been a growing way health insurance plans try to control costs by requiring healthcare professionals to obtain advance approval from the health plan before a prescription medication or a medical service qualifies for payment and can be delivered to the patient....