Health insurers and benefit managers are increasingly requiring health care professionals to obtain prior authorization before providing pharmaceuticals and medical services.
These requirements can interrupt care, divert resources from patients and complicate medical decision-making.
The AMA is reducing the harmful impact of these utilization management programs through reform initiatives, research and practice resources.
Physician advocates can also promote meaningful changes to prior authorization and improve access to care by using the following resources.
Prior authorization model legislation
Medical societies use model bills to begin the legislative process.
Prior authorization state laws
See—at a glance—how the laws governing prior authorization differ from state to state.
Fix Prior Authorization
Prior authorization doesn't put your patients first. It undermines your expertise and costs you valuable time.
For more information on advocacy to address administrative barriers, please contact Emily Carroll, senior legislative attorney.