Physicians say prior authorization stands in the way of medically necessary care

Healthcare DIVE February 25, 2025
Susanna Vogel

Physicians surveyed by the AMA say that PA can cause care delays or force patients to abandon treatment. They warn denials could increase as insurers adopt AI to review claims.

Dive Brief:

• Physicians say prior authorization continues to pose barriers to offering timely and medically necessary treatment, according to a new survey from the American Medical Association.
• Nearly all of the physicians surveyed in December said prior authorization resulted in care delays at least some of the time and had a negative impact on patient clinical outcomes.
• Most respondents said prior authorization denials had increased over the last five years, with nearly a third of respondents reporting their requests are often or always denied. Physicians reported concerns denial rates...

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