Author's posts
Health Insurance Mergers
Ensuring Health Insurance Competition
Discover the AMA’s position on why having fewer insurance carriers will undermine physician practices and harm patient care.
Current Active Mergers: CVS-Aetna and Cigna-Express Scripts Mergers
The AMA aims to protect patients and physicians by actively opposing anticompetitive health insurer mergers.
Teaching Health Systems Science
Short description: Understand the evolving field of health systems science and acquire the necessary tools and skills to successfully share this approach with medical students.Disable social sharing: Add category highlights: Hide short d…
Access Toolkits
Administrative SimplificationAccess ToolkitsAppears on:: Prior Authorization Practice Resources
Prior Authorization
Prior authorization is a health plan cost-control process that requires providers to qualify for payment by obtaining approval before performing a service. It is overused, costly, inefficient, opaque and responsible for patient care delays.
We’re taking a number of steps to reform prior authorization this year:
- Working with payers to reduce the overall volume of prior authorizations
- Increasing transparency on requirements
- Promoting automation
- Ensuring timely care for patients
Top issue: Prior authorization
“This can delay needed treatment for patients and burdens physician practices.” – AMA President David O. Barbe, MD, MHA
AMA Reform Initiatives
Learn about AMA reform principles and a consensus statement between providers and insurers to improve prior authorization.
Reform Resources
Understand the prior authorization laws in your state, use AMA model legislation and join grassroots campaigns.
Practice Resources
Streamline your current processes to maximize efficiency with tips from toolkits, videos, guides and webinars.
Research & Reports
Access the evidence—including the physician survey and council reports—highlighting the need for change.
AMA Payment Essentials
New payment models turn traditional fee-for-service care models inside out. Instead of strictly linking payment to the number and type of individual physician services provided, value-based care intends to link payments—at least in part—to the quality of patient care and health care resource utilization.
Understanding Accountable Care Organizations (ACO)
Short description: Understand the main issues physicians will encounter when asked to participate in an Accountable Care Organization (ACO), whether publicly or privately funded.Disable social sharing: Add category highlights: Hide short…
Contracting With Peers, Plans, and Others
Short description: View tools and resources designed to help your practice succeed when contracting with peers, plans and additional groups.Disable social sharing: Add category highlights: Hide short description: Audience: Phys…
Succeeding With Commercial Payers
Short description: View tools and resources designed to help your practice succeed with commercial payers.Disable social sharing: Add category highlights: Hide short description: Related Content Override: Related Content for Ph…
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