Prior Authorization
VIDEO: Need for prior authorization creates extra hurdles for physicians
In this video, Priya J. Bansal, MD, FAAAAI, FACAAI, discusses the challenge of prior authorization and its effect on physicians as part of Healio’s Women in Allergy video corner series.
The AI 'landscape is vast' in health care, but which products are available?
Prior authorizations for anti-VEGFs cause treatment delays, administrative burdens
The current prior authorization process required for anti-VEGF medications leads to treatment delays, increased health care costs due to administrative burdens and potentially worse visual outcomes.
AMA: Nearly one in four physicians say prior authorization led to serious adverse events
New survey results from the AMA illustrate the burden of prior authorization, with many physicians reporting that it leads to serious patient harms, delays care, reduces work productivity and more.
Payer-mandated changes may compromise the effectiveness of radiation therapy
Most insurance denials in radiation oncology are eventually approved through appeal, according to data published in JAMA Network Open.
'Denials must not be a mystery': AMA adopts prior authorization policies
The AMA House of Delegates adopted two new policies aiming to reform prior authorization and the burden it causes patients and physicians.
AMA elects president focused on patient-physician relationships
Physicians and medical students elected the next president of the AMA at its annual House of Delegates meeting.
Findings highlight need to improve prior authorization process for cancer pain management
CHICAGO — A review of more than 1,700 prior authorization requests related to pain medication for people with cancer showed the vast majority ultimately got approved.
ACR: Prior authorization, fee schedule reform must be Congress’ ‘top priority’
The American College of Rheumatology urged Congress to consider multiple reform agendas, including reforming prior authorization and the Medicare physician fee schedule, after a Capitol Hill hearing on the “collapse of private practice.”
VIDEO: AI holds ‘real promise’ in reducing administrative burden
BOSTON — AI “is holding real promise” in streamlining tasks such as in-basket message responses, chart summaries, coding, billing and prior authorizations, according to Deepti Pandita, MD, FACP, FAMIA.