Intense Scrutiny on Prior Authorization Practices Could Bring New Reforms
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Nov 08, 2024
As legislation to address it languishes in the lame-duck Congress, prior authorization (PA) remains under intense scrutiny. Adding to previous accounts of provider and consumer frustration with PA, two recent reports — one from the Senate and one from ProPublica — offer new evidence of insurers and their contractors denying PA requests to cut costs.
Physicians have long been wearied of PA battles, noting it negatively affects patient care and contributes to burnout. The continued scrutiny raises the question: What lies ahead for PA reform, especially as the U.S. transitions to a new presidential administration?
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