Chief Healthcare Executive November 24, 2024
Jane Edmond

Congress needs to pass legislation to streamline the prior authorization process so patient care isn’t delayed. The measure has bipartisan support.

Like most doctors, I’m awed by the transformative power of medicine in my patients’ lives. Yet, I’m also frustrated that insurers are increasingly delaying or denying necessary care.

That’s because doctors’ ability to provide procedures and medications is hampered by the bureaucratic nightmare that is prior authorization built into many Medicare Advantage plans.

Prior authorization, which requires doctors to jump through numerous administrative hoops before insurance companies approve necessary treatments, impacts every specialty in medicine. According to the latest data from the American Medical Association, 94% of physicians say prior authorization delays patients’ access to necessary care, 78% report...

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Topics: Congress / White House, Govt Agencies, Insurance, Patient / Consumer, Payer, Physician, Provider
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