Becker's Healthcare May 25, 2022
The American Medical Association criticized the health insurance industry May 24 for what it says are slow or ineffective prior authorization reforms implemented over the last four years, despite payers agreeing to changes aimed at improving care access and efficiency.
A 2018 consensus agreement outlined five key prior authorization reforms agreed upon between groups representing the nation’s largest payers and providers. Now the AMA says results from a December 2021 1,000-physician survey call into question whether payers are capable of voluntarily implementing prior authorization reforms.
“Waiting on a health plan to authorize necessary medical treatment is too often a hazard to patient health,” President Gerald Harmon, MD, said. “Authorization controls that do not prioritize patient access to timely, optimal care...
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