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4 Min Read

The AMA is ready to help CMS fix prior authorization

New CMS Administrator Mehmet C. Oz, MD, raised concerns about the cost-control practice. The AMA outlines next steps for action.

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Prior Authorization
Fighting for Physicians
Smiling patient listening to doctor
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4 Min Read

Prior authorization bill would require true peers make decisions

A bipartisan bill backed by the AMA would help Medicare patients avoid unnecessary care delays by requiring appropriate specialty physicians to review. 

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Prior Authorization
Fighting for Physicians
Flummoxed patient holds a prescription bottle
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5 Min Read

Patients’ stories push lawmakers to act on prior authorization

Critical changes are need to fix the time-wasting, care-delaying payer process. Highlighting prior authorization’s patient impact goes a long way.

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Prior Authorization
Fighting for Physicians
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8 Min Read

Fixing prior auth: Clear up what’s required and when

Payers often leave patients and physicians in the dark on key aspects of prior authorization. Learn how the AMA is fighting to require transparency.

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Prior Authorization
Fighting for Physicians
Three in a row game with medical pills
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9 Min Read

Fixing prior auth: We must ensure continuity of care

When switching health plans, patients and physicians often must go back to step one on prior authorization. The consequences can be horrific.

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Prior Authorization
Fighting for Physicians
Clock covered in red tape
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6 Min Read

Fixing prior auth: These critical changes must be made

The payer cost-control process of prior authorization wastes physicians’ time and delays patient care. Dive deep on five big reforms that are needed.

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Prior Authorization
Fighting for Physicians
Tape dispenser with red tape
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8 Min Read

Fixing prior auth: Nearly 40 prior authorizations a week is way too many

AMA survey data shows that practices complete 39 prior authorization requests per physician, per week. The AMA is fighting for prior auth reduction.

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Prior Authorization
Fighting for Physicians
Stethoscope and clock
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6 Min Read

Fixing prior auth: First, speed up payers’ response times

Sluggish action on prior authorization requests can mean hospitalization or death. The AMA is fighting to speed up prior authorization.

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Prior Authorization
Fighting for Physicians
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7 Min Read

Fixing prior auth: Give doctors a true peer to talk with—stat

“Peer-to-peer” consults are often with health plan employees who lack the right expertise, training or credentials. The AMA is fighting to change that.

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Prior Authorization
Fighting for Physicians