Prior authorization is any process by which physicians and other health care providers must qualify for payment coverage by obtaining advance approval from a health plan before a specific service is delivered to the patient.

Studies conducted by the AMA and partners reveal physician concerns over patient care delays, administrative costs and workflow disruptions caused by prior authorization.

This research prompted the AMA's advocacy for change and development of resources to reduce prior authorization burdens.

LINK 1: Prior authorization reform initiatives

LINK 2: Prior authorization practice resources

Prior authorization physician survey

A recent survey of 1,000 practicing physicians—who routinely complete prior authorizations in their practice—showed the significant burden prior authorization policies can have on physician practices and patients.

PDF 1: 2017 AMA Prior Authorization Physician Survey

Study shows prior authorization burden

A qualitative study exploring the fundamental sources of physician satisfaction and dissatisfaction—and the effects of administrative work on practices—includes first-hand physician perspectives on how prior authorization impacts physician practices and delivery of care to patients.

DOWNLOAD PHYSICIAN SATISFACTION RESEARCH

PDF 2: AMA/Dartmouth Study on Patient Time vs. EHR and Clerical Tasks

Prior authorization AMA council reports

The AMA Council on Medical Service presented reports that detail AMA policy and corresponding initiatives on prior authorization during recent AMA Annual Meetings.

DOWNLOAD PRIOR AUTHORIZATION REPORTS

PDF 3: Prior authorization and utilization management reform​​​​​​​

PDF 4: Prior authorization simplification and standardization​​​​​​​

Prior authorization is any process by which physicians and other health care providers must qualify for payment coverage by obtaining advance approval from a health plan before a specific service is delivered to the patient.

Studies conducted by the AMA and partners reveal physician concerns over patient care delays, administrative costs and workflow disruptions caused by prior authorization.

This research prompted the AMA's advocacy for change and development of resources to reduce prior authorization burdens.

LINK 1: Prior authorization reform initiatives

LINK 2: Prior authorization practice resources

Prior authorization physician survey

A recent survey of 1,000 practicing physicians—who routinely complete prior authorizations in their practice—showed the significant burden prior authorization policies can have on physician practices and patients.

PDF 1: 2017 AMA Prior Authorization Physician Survey

Study shows prior authorization burden

A qualitative study exploring the fundamental sources of physician satisfaction and dissatisfaction—and the effects of administrative work on practices—includes first-hand physician perspectives on how prior authorization impacts physician practices and delivery of care to patients.

DOWNLOAD PHYSICIAN SATISFACTION RESEARCH

PDF 2: AMA/Dartmouth Study on Patient Time vs. EHR and Clerical Tasks

Prior authorization AMA council reports

The AMA Council on Medical Service presented reports that detail AMA policy and corresponding initiatives on prior authorization during recent AMA Annual Meetings.

DOWNLOAD PRIOR AUTHORIZATION REPORTS

PDF 3: Prior authorization and utilization management reform​​​​​​​

PDF 4: Prior authorization simplification and standardization​​​​​​​

PDF 3: Report

AMA Council on Medical Service Report 8-A-17

PDF 4: Report

AMA Council on Medical Service Report 7-A-16

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