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5 Min Read

Prior authorization: What private practice physicians must know

Doctors know all too well the hassles of this payer cost-control process. Find out how the AMA is tackling prior authorization with research and resources for reform.

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Prior Authorization
Fighting for Physicians
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27 Min Read

What private practice physicians need to know about prior authorization

In this episode of AMA Thriving in Private Practice, learn about what private practice physicians need to know about recent changes in prior authorization.

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Prior Authorization
Thriving in Private Practice
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MRI room
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5 Min Read

Cancer killed Kathleen Valentini, but prior auth shares the blame

Third-party administrator boasted making “appropriate decisions on patients’ behalf,” but their delays meant suboptimal cancer treatment. Learn more.

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Judicial Advocacy
Fighting for Physicians
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Elderly male patient wearing a mask
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4 Min Read

In 2018, payers agreed to rein in prior auth. The clock is ticking.

A physician survey shows that insurers have failed to follow through on the commonsense fixes they agreed to. Learn how the AMA is tackling prior auth.

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Prior Authorization
Fighting for Physicians
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Person looking out a window
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4 Min Read

Putting patients first means tackling prior authorization

The latest audit of Medicare Advantage organizations underscores continuing problems with inappropriate denials of services and payment.

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Leadership
Leadership Viewpoints
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4 Min Read

Health insurance industry continues to falter on prior authorization reform

Survey shows reform goals are unfulfilled after nearly four years despite heavy toll on patients.

Press Releases
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2 Min Read

May 13, 2022: Advocacy Update spotlight on prior auth & Medicare Advantage plans

How Medicare Advantage plans wrongly deny prior auth requests and more in the latest Advocacy Update spotlight.

Advocacy Update
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Patient with hand over her heart
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5 Min Read

How Medicare Advantage plans wrongly deny prior auth requests

Prior-authorization requests met Medicare’s clinical coverage criteria and were still denied, the OIG found. Learn how the AMA is tackling prior auth.

Prior Authorization
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2 Min Read

AMA agrees with recommendations from investigation of Medicare Advantage plans

More oversite of authorization controls is needed.

Press Releases
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