AMA Physician Survey: 7 Downsides of Prior Authorization Requirements

  1. Prior authorization requirements led to higher overall utilization of health care resources
  2. resulting in unnecessary waste: 86%
  3. Resources were diverted to ineffective initial treatments: 64%
  4. Prior authorization led to urgent or emergency care for patients: 46%
  5. Prior authorization led to a serious adverse event for a patient in their care: 33%
  6. Prior authorization had a negative impact on patient clinical outcomes: 89%
  7. Prior authorization delayed access to necessary care: 94%
  8. Patients abandoned treatment due to authorization struggles with health insurers: 80%
Notes: From a survey of 1,001 practicing physicians in December 2022.

Source: The American Medical Association press release, March 13, 2023 - https://www.ama-assn.org/press-center/press-releases/toll-prior-authorization-e…

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