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Prior Authorization Hurts Patient Care, AMA Survey Finds



Requiring physicians to ask for preauthorization from health insurance companies complicates medical decisions and delays or interrupts patient care, according to a national survey released by the American Medical Association.



2 comments on "Prior Authorization Hurts Patient Care, AMA Survey Finds"
Todd (11/23/2010 at 10:32 AM)

This sure beats the alternative. Imagine no prior authorization? You would see premium increases year over year of 40% being common. What insurance plans and employers should do to compromise is not require prior authorization for patients having surgery at Joint Commission Accredited Hospitals in Thailand, India, Turkey, Korea, Singapore and Costa Rica.
Sara Gottschalk (11/23/2010 at 10:17 AM)

As the wife of a patient who was to undergo chemotherapy, I found myself fighting with an insurance company to justify the two heart tests required by a highly respected oncologist who could not determine chemotherapy medication until the tests determined the ability of his heart to withstand the chemo rounds. The insurance company could not correlate the relationship between chemo treatments and heart health! I shudder to think how many patients have legitimate claims denied because they do not have the expertise to fight their way through the system as I did[INVALID]especially at times when they are particularly vulnerable.