Prior authorization—sometimes called precertification or prior approval—is a health plan cost-control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage.

The AMA believes that the overall volume of medical services and drugs requiring prior authorization should be greatly reduced.

When it is used, prior authorization should utilize a standardized, automated process to minimize the burden placed upon both physicians and health plans.

As reform and research continue, the AMA offers the following resources to help minimize the current impact of prior authorization on practices.

LINK 1: Prior authorization reform initiatives

LINK 2: Prior authorization research & reports

Electronic prior authorization videos

Learn how electronic prior authorization (ePA) technology that integrates with practices’ current electronic prescribing workflows can improve the drug prior authorization process by watching the AMA’s 3-part ePA video series. Physicians can register to receive 0.25 credits of AMA PRA Category 1 Credit™ for viewing these informational videos.

LINK 3: Register for credit

VIDEO 1: The prior authorization burden

VIDEO 2: Simplifying prior authorization with ePA

VIDEO 3: A better way: ePA and beyond

Prior authorization toolkit

The prior authorization toolkit provides an overview of the current prior authorization landscape, including the status of ePA adoption.

PDF 1: Complete AMA prior authorization toolkit

Prior authorization tip guide

The prior authorization tip guide is designed to help practices minimize the burdens caused by prior authorization and increase the efficiency of the process.

PDF 2: Tip guide: Reducing prior authorization burden

Prior authorization webinar

This prior authorization webinar reviews the current industry landscape, provides tips to reduce manual burdens and discusses changes needed to improve prior authorization in the future.  

LINK 4: Webinar: Break through the prior authorization roadblock

PDF 3: Webinar slides: Break through the prior authorization roadblock

Prior authorization—sometimes called precertification or prior approval—is a health plan cost-control process by which physicians and other health care providers must obtain advance approval from a health plan before a specific service is delivered to the patient to qualify for payment coverage.

The AMA believes that the overall volume of medical services and drugs requiring prior authorization should be greatly reduced.

When it is used, prior authorization should utilize a standardized, automated process to minimize the burden placed upon both physicians and health plans.

As reform and research continue, the AMA offers the following resources to help minimize the current impact of prior authorization on practices.

LINK 1: Prior authorization reform initiatives

LINK 2: Prior authorization research & reports

Electronic prior authorization videos

Learn how electronic prior authorization (ePA) technology that integrates with practices’ current electronic prescribing workflows can improve the drug prior authorization process by watching the AMA’s 3-part ePA video series. Physicians can register to receive 0.25 credits of AMA PRA Category 1 Credit™ for viewing these informational videos.

LINK 3: Register for credit

VIDEO 1: The prior authorization burden

VIDEO 2: Simplifying prior authorization with ePA

VIDEO 3: A better way: ePA and beyond

Prior authorization toolkit

The prior authorization toolkit provides an overview of the current prior authorization landscape, including the status of ePA adoption.

PDF 1: Complete AMA prior authorization toolkit

Prior authorization tip guide

The prior authorization tip guide is designed to help practices minimize the burdens caused by prior authorization and increase the efficiency of the process.

PDF 2: Tip guide: Reducing prior authorization burden

Prior authorization webinar

This prior authorization webinar reviews the current industry landscape, provides tips to reduce manual burdens and discusses changes needed to improve prior authorization in the future.  

LINK 4: Webinar: Break through the prior authorization roadblock

PDF 3: Webinar slides: Break through the prior authorization roadblock

VIDEO 1: The Prior Authorization Burden

The prior authorization burden

VIDEO 2: Simplifying Prior Authorization with ePA

Simplifying prior authorization with ePA

VIDEO 3: A Better Way: ePA and Beyond

A better way: ePA and beyond

Why Join the AMA?

An AMA membership means you’ve got access to world-class clinical research, education and insights. Access peer-reviewed medical research findings and editorial opinions from JAMA®, the Journal of the American Medical Association, JAMA Network Open™ and the 11 specialty journals, with CME at no cost.

Join Now

Why Join the AMA?

An AMA membership means you’ve got access to world-class clinical research, education and insights. Access peer-reviewed medical research findings and editorial opinions from JAMA®, the Journal of the American Medical Association, JAMA Network Open™ and the 11 specialty journals, with CME at no cost.

Join Now