Prior Authorization
The Latest News and Notes, plus Conversation with David F. Chang, MD
Hosts Jim Mazzo and John A. Hovanesian, MD, FACS, discuss the latest ophthalmic industry news and interview David F. Chang, MD.
AMA seeks to expand telehealth, reform payment system and prior authorization
During his presidential address at the AMA House of Delegates meeting, Gerald E. Harmon, MD, outlined five actions that he said policymakers must take to better support physicians.
Legislative action needed to curtail preauthorization, step therapy policies
Twenty years ago, there were only two P’s present in every ophthalmologist’s consultation room when examining and recommending therapy for an individual: the patient and the physician.
How do prior authorizations affect your practice?
Health insurance companies use prior authorization processes to lower payer costs.
Cataract surgery prior authorization an unnecessary burden for practices
It happened overnight, and all it took was a shift in policy at one insurance company.
Q&A: Prior authorization policy for cataract surgery results in costly delays to care
In July 2021, Aetna implemented a policy stating that all cataract surgery procedures require prior authorization.
AAO, ASCRS warn of prior authorization, step therapy restrictions in open enrollment
Ophthalmology groups urge reversal of Aetna’s cataract surgery prior authorization policy
New AMA policies attempt to revamp prior authorization process
The AMA said it has adopted new policies regarding the prior authorization process, with its outgoing president stating that maintaining the status quo may cause “life-or-death consequences.”
Medical groups endorse legislation to reform prior authorization
The AMA and other professional organizations endorsed the Improving Seniors’ Timely Access to Care Act, which would streamline prior authorizations for Medicare Advantage plans and introduce additional protections for patients.