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.
