New Polling: Patients and Providers Oppose Prior Authorization Policies Imposed by Insurers and PBMs
Prior authorization is a harmful utilization management practice that requires doctors to obtain specific approval from health insurers before they are able to prescribe a treatment to their patients.
- Prior authorization is a harmful utilization management practice that requires doctors to obtain specific approval from health insurers before they are able to prescribe a treatment to their patients.
- 74% expressed concern that prior authorization can require patients to substitute less effective or ineffective treatments for what their doctors prescribed.
- “Addressing the administrative burden of prior authorization requests would increase the time providers spend treating patients.”
Polling results indicate that patients are concerned about prior authorization burdens on providers and office staff, and payer procedures in rheumatology offices create the biggest challenges. - 71% of polling respondents are worried that filing and following up on prior authorization requests diverts doctor and staff time spent with patients.