Intense Scrutiny on Prior Authorization Practices Could Bring New Reforms

  • 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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  • Jill Drachenberg

    Jill has been a reporter and editor since 2005, mainly focusing on business and health care. Before joining AIS Health, she was an editor for Relias Media (formerly AHC Media), focusing on topics such as case management, medical ethics, risk management, infection control, hospital management, and contraceptive technology. She has a B.A. in journalism from Georgia State University.

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