Nearly all of provider care delays are associated with inefficiencies and administrative issues with current prior authorization.
March 19, 2018 – Prior authorization issues are associated with 92 percent of care delays and may contribute to patient safety concerns as well as administrative inefficiencies, according to a new survey from AMA.
Payers should work to change their prior authorization protocols to prevent gaps in care and ensure that patients are receiving their medications, said the AMA.
“Under prior authorization programs, health insurance companies make it harder to prescribe an increasing number of medications or medical services until the treating doctor has submitted documentation justifying the recommended treatment,” said AMA chair-elect Jack Resneck Jr., MD.
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