decisionhealth Newsletters, Part B News - 2019 Issue 2 (February)
AMA survey: Prior authorization bad for patients as well as providers, practices
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Article Overview
This article summarizes an AMA survey of practicing physicians about prior authorization in private and Medicare Advantage plans. It focuses on reported delays, patient harm concerns, treatment abandonment, and physician perceptions of whether the burden has changed over time. The piece is relevant to physicians, practice managers, and medical coding or revenue cycle professionals who monitor payer administrative requirements and their effect on care delivery.
Why This Topic Matters
Prior authorization can delay medically necessary care and increase administrative workload, so survey findings like these help practices understand the scope of the problem and the advocacy context surrounding payer policy.
What You Will Learn
- How physicians described the impact of prior authorization on care timeliness
- What the AMA survey reported about patient access and adverse outcomes
- How physicians viewed changes in prior authorization burden over time
- Why the AMA is advocating for prior authorization reform
Who Should Read This
- Physicians
- Practice managers
- Medical coders
- Revenue cycle staff
- Healthcare administrators
- Payer policy analysts
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