Becker's Healthcare October 7, 2022
A trio of authors outlined proposed improvements to the prior authorization process for Medicare Advantage in an opinion piece published in JAMA Network Oct. 3.
The piece was written by Kelly Anderson, PhD, an assistant professor at Aurora-based University of Colorado Skaggs School of Pharmacy and Pharmaceutical Sciences; Michael Darden, PhD, an associate professor at Baltimore-based Johns Hopkins University’s Carey School of Business; and Amit Jain, MD, chief of minimally invasive spine surgery at Johns Hopkins Medicine’s Department of Orthopaedic Surgery.
“If used effectively, prior authorization can serve as a powerful lever to improve appropriateness of care, reduce overuse, and contain burgeoning health care costs,” the authors wrote. “However, misapplication can result in harms to patients and unnecessary...