4sight Health June 19, 2024
Prior authorization (PA) has been and continues to be a huge thorn in the side of healthcare providers who need PA approval from health plans for coverage of medical procedures or treatments for patients.
PA unnecessarily delays care, which puts patients at risk, according to providers. That’s in addition to the costly and time-consuming administrative burden of seeking PA approvals and appealing PA denials.
Health plans, in turn, say PA is essential in protecting patients from inappropriate care, unproven care or care that offers little or no therapeutic value, according to the medicine evidence.
The conflict between providers and health plans over PA used to be inside baseball, strictly an industry conversation. Now PA disputes are daily front-page news. That’s...
Today's Sponsors
Today's Sponsor