Prior Authorization Hurts
The AMA reports, "Prior authorization (PA) is a health plan cost-control process that requires health care professionals to obtain advance approval from the health plan before a prescription medication or medical service qualifies for payment and can be delivered to the patient. While health plans and benefit managers contend prior authorization programs are necessary to control costs, physicians and other providers find these programs to be time-consuming barriers to the delivery of necessary treatment."
Q: For those patients whose treatment requires PA, how often does this process delay access to necessary care?
A: 55% of physicians report 'Always' or 'Often'
Q How often do issues related to the PA process lead to patients abandoning their recommended course of treatment?
A: 78% report of physicians report 'Always' or 'Often'
