Measuring Progress in Improving Prior Authorization

American Medical Association

Measuring Progress in Improving Prior Authorization

American Medical Association

Abstract

[This is an excerpt.] Prior authorization (PA) is a cost-control process that requires health care professionals to obtain advance approval from health plans before a prescription medication or medical service qualifies for payment and can be delivered to the patient. While health plans and benefit managers contend PA programs are necessary to control costs, physicians and other providers find these programs to be time-consuming barriers to the delivery of necessary treatment. [To read more, click View Resource.]

This resource is found in our Actionable Strategies for Other Private Organizations: Private Payers

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American Medical Association
2022
Profession(s)
Healthcare Workers (General)
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Resource Types
Briefs & Reports
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Action Strategy Area(s)
Workload & Workflows
Measurement
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