Prior Authorization
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
