Prior authorization impacts care and workforce productivity – Consumer Health News


THURSDAY, Feb. 17, 2022 (HealthDay News) — More than a third of physicians report that prior authorization resulted in a serious adverse event for a patient in their care, according to a survey published by the American Medical Association (AMA) .

The online survey was conducted in December 2021 and included a sample of 1,004 practicing physicians (40% primary care), all of whom complete pre-clearances during a typical workweek.

The survey found that 34% of physicians said prior authorization resulted in a serious adverse event, such as hospitalization (24%) and disability or death (8%), for a patient they had load. Delays in care were reported by the vast majority of responding physicians (93%) while waiting for health insurers to authorize needed care. More than four in five doctors (82%) said patients dropped out of treatment because of authorization issues with health insurers. About half of physicians said prior authorization interfered with a patient’s professional responsibilities. The AMA urges employers to ask health insurance plans about the impact of prior authorizations and to solicit feedback from employees.

“Health insurance companies encourage employers to claim that prior authorization requirements help control health care costs, but often these promises mask any consequences on the employer’s bottom line or the well-being of employees. employees,” said Gerald Harmon, MD, president of the AMA. said in a statement. “Benefit plans with excessive authorization checks create serious problems for employers when delayed, denied or abandoned care harms employee health and leads to missed work days, lost productivity and other costs.”

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