Prior Authorization

Prior authorization

1 Min Read

Prior authorization is a health plan cost-control process that requires providers to qualify for payment by obtaining approval before performing a service. It is overused, costly, inefficient, opaque and responsible for patient care delays. 

We're taking a number of steps to reform prior authorization this year:

  • Working with payers to reduce the overall volume of prior authorizations
  • Increasing transparency on requirements
  • Promoting automation
  • Ensuring timely care for patients
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AMA reform initiatives
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Reform resources
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Practice resources
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Research & reports

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