BC Advantage - 2024 Issue 7

Overcoming Prior Authorization Challenges With Technology

The latest survey from the American Medical Association (AMA) reveals the significant challenges posed by prior authorization in healthcare. Prior authorization, a process insurers use to manage healthcare utilization and control costs, often disrupts patient care, burdens physicians with administrative tasks, and wastes healthcare resources.   The Consequences of Prior Authorization   Conducted in December 2023, the AMA survey paints a stark picture of the impact of prior authorization:   Patient Harm: Nearly one in four physicians (24%) reported that prior authorization has led to serious adverse events, including hospitalization, permanent impairment, or death. Furthermore, 93% of physicians observed...

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