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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
Red tape
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3 Min Read

Why D.C. Council should act now to fix prior authorization

Prior authorization is bad for patients and physicians. The AMA is fighting in the D.C. Council, and Congress, to fix this obstacle to patient care.

Prior Authorization
Figure in a dark maze
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8 Min Read

Q&A: A drug changed this M4’s life. Prior auth nearly upended it.

Prior authorization is often a headache for practicing physicians. For AMA member Victoria Gordon, it threatened to set back her medical training.

series
Prior Authorization
Fighting for Physicians
Hand holding prescription medication
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5 Min Read

I’m used to my patients’ prior auth hassles. Then came Mom’s.

Excessive prior authorization processes pose a significant obstacle to the quality of care our patients need and deserve.

series
Leadership
Leadership Viewpoints
U.S. Capitol building
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4 Min Read

Fixing Medicare pay system once and for all tops advocacy agenda

Reforming Medicare physician payment, overhauling prior authorization and maintaining telehealth expansion are AMA advocacy goals for 2022.

Medicare & Medicaid
https://youtu.be/GRAV8LIxD5g
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4 Min Read

Why prior authorization is bad for patients and bad for business

Prior authorization delays care that leads to negative clinical outcomes for patients that can interfere with the responsibilities of their jobs.

Prior Authorization
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3 Min Read

Feb. 18, 2022: Advocacy Update spotlight on prior authorization

Physicians report prior authorization hurts workforce productivity and more in the latest Advocacy Update issue spotlight.

Advocacy Update
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3 Min Read

Physicians report prior authorization hurts workforce productivity

AMA urges employers to grill health plans on the impact of prior authorization on patient care.

Press Releases