Fierce Healthcare July 12, 2024
Initially meant to protect patients from unnecessary procedures, prior authorizations have shifted towards being a cost containment strategy for health payers. This shift is causing significant frustration among providers and patients due to the lengthy manual process and the potential for unnecessary denials and care delays. These pain points are a jumping-off point, leading to increased legislative and regulatory actions at both state and federal levels, which focus on fixing the prior authorization process.
The conversation surrounding prior authorization regulations is a complex and ever-evolving one. What’s true today could be completely different several weeks or months from now, so anyone in healthcare should stay up to date by referring to trustworthy sources like the American Medical Association (AMA), Centers...
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