A majority of physicians say the prior authorization process continues to negatively impact patient outcomes and employee productivity, according to a survey released May 13 by the American Medical Association. Nearly a quarter of physicians (26%) reported that prior authorization led to an adverse event for a patient, and more than 9 in 10 reported that prior authorization negatively impacts patient outcomes (92%) and delays access to care (95%). Nearly 1 in 3 physicians (32%) reported that prior authorization requests are often or always denied, and more than 4 in 5 (88%) reported that prior authorization requirements lead to higher overall use of resources, resulting in unnecessary waste.

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The Workgroup for Electronic Data Interchange has launched its fall 2026 survey to assess industry readiness for the Centers for Medicare & Medicaid…
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This webinar explores how hospital and health system leaders can prepare for Medicare Advantage’s new electronic prior authorization mandate, which goes into…
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An AHA blog published July 28 highlights new electronic prior authorization requirements that begin Jan. 1, 2027, as a result of the Centers for Medicare…
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As major provisions of the 2024 Centers for Medicare & Medicaid Services (CMS) Interoperability and Prior Authorization final rule take effect next year,…
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Americans experience healthcare affordability in different ways. Often, affordability is first considered in terms of health insurance premiums that fit within…
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The AHA provided comments June 15 to the Centers for Medicare & Medicaid Services on its proposed rule establishing electronic standards for drug prior…