AMA Survey: Insurer Preauthorization Requirements Hurt Patient Care

Health insurers with policies requiring preauthorization permission delays or interrupts patient access to care, according to the results of an American Medical Association survey.

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The study of approximately 2,400 physicians revealed that 78 percent of physicians believe health insurers are applying preauthorization requirements for an unreasonable list of tests, procedures and drugs, according to comments from AMA Immediate Past President J. James Rohack, MD, in an AMA news release.

 

Other highlights from the survey include:

 

– Thirty-seven percent of physicians said they experience a 20 percent rejection rate from insurers on first-time preauthorization requests for tests and procedures.

 

– Forty-six percent of physicians said they experience difficulty obtaining approval on 25 percent or more of preauthorization requests for tests and procedures.

 

– Sixty-four percent of physicians said they struggle to understand which tests and procedures require preauthorization by insurers.

 

Read the news release about the AMA survey on preauthorization policies.

 

Read more information from the AMA:

 

AMA Responds to Senate Passing One-Month Fee Fix

 

AMA Column Explores Anesthesia Provision Debate

 

AMA Releases Guidelines to Help With Patient Safety

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