HIMSSCast: Prior authorization as gatekeeper

Prior authorization does not work for patients, providers or even payers, according to Peter Ax, founder and CEO of UpScriptHealth.

The intention of prior authorization is to make an efficient use of health resources, Ax said. It has not worked.

“Prior authorizations are hated universally by patients, by providers and frankly I don’t think prior authorizations are helping payers achieve what they want to achieve,” Ax said.

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