HOD Reference Committee J, 2024 Interim Meeting
·
3 MIN READ

After prior authorization approval, health plan should pay for care

Prior authorization delays and discourages care, but even when it is granted there is no guarantee the health plan will pay up. That must absolutely change, says the AMA. 

series
Prior Authorization
Fighting for Physicians

Fight Regulatory Burdens

AMA-inspired changes to office visit reporting will save the typical office-based physician 180 hours of documentation each year.

U.S. Capitol
·
6 MIN READ

How the AMA is fighting for physicians now

The push is on for a 2025 Medicare payment update—but that’s not all. On prior auth, scope of practice, burnout and tech, the AMA fights for doctors.

series
Medicare & Medicaid
Fighting for Physicians
Illinois State Capitol Building
·
4 MIN READ

Building consensus to fix prior auth at the state level

A physician leader in Illinois describes successful efforts in the Land of Lincoln to address numerous flaws in prior authorization.

series
Prior Authorization
Fighting for Physicians
Person uses a walker with in-home physical therapy
·
5 MIN READ

Time to crack down on ERISA plans’ use of prior authorization

The AMA has advanced prior auth fixes at the state and federal levels, but employer-sponsored ERISA plans have escaped scrutiny. That must change.

series
Prior Authorization
Fighting for Physicians
Young child in hospital bed
·
4 MIN READ

How prior authorization hurts the nation’s littlest patients

Pediatric care is not immune from insurers’ time-wasting, care-delaying tactic—even in the emergency department.

series
Prior Authorization
Fighting for Physicians
AMA Update for Oct. 4, 2024: How a health care bill becomes a law: ISMS president on the Illinois Healthcare Protection Act
·
10 MIN READ

How a health care bill becomes a law: ISMS president-elect on the Illinois Healthcare Protection Act

The AMA Update covers a range of health care topics affecting the lives of physicians and patients. Learn more about the latest in prior auth reform.

series
Prior Authorization
AMA Update
·
10 MIN READ

How a health care bill becomes a law: ISMS president on the Illinois Healthcare Protection Act [Podcast]

The AMA Update covers a range of health care topics affecting the lives of physicians and patients. Learn more about the latest in prior auth reform.

series
Prior Authorization
AMA Update Podcast
Check marks and x marks
·
4 MIN READ

Over 80% of prior auth appeals succeed. Why aren’t there more?

Physicians, squeezed for time and eager to get treatment started, often steer clear of appeals in broken prior auth system that needs major overhaul.

series
Prior Authorization
Fighting for Physicians
Restricted access icon on computer screen
·
4 MIN READ

Prior authorization denials up big in Medicare Advantage

Latest data shows millions of prior auth requests denied, underscoring the need for action as the rate of denials soars compared with previous years.

series
Prior Authorization
Fighting for Physicians