• Fri. Mar 1st, 2024

Prior Authorization: An Obstacle to Healthcare for Nearly 1 in 5 Policyholders

ByEditor

Feb 12, 2024
The Health Wonk Shop: Prior Authorization in Health Insurance – A Tool for Cost Containment or a Barrier to Needed Care? (Virtual Event on Feb. 22)

Insurers have been delaying or denying care to nearly 1 in 5 health insurance policyholders due to prior authorization requirements, according to a report from the Kaiser Family Foundation (KFF). Prior authorization is a process where insurers require patients to obtain approval before they will cover specific services. Insurers claim that this is a cost-saving tool by limiting unnecessary and ineffective care. However, it has come under scrutiny for creating barriers to care for patients and adding paperwork for providers.

In an effort to address these concerns, new rules have been finalized on how insurers use prior authorization in various health care plans. The KFF has hosted a virtual Health Wonk Shop series on Feb. 22 at Noon ET, where experts will discuss the future of prior authorization requirements in health care. Panelists will examine the reasons behind using prior authorization, its impact on patients and providers, and how new regulations may change current practices. They will also consider potential regulatory or legislative action to address ongoing concerns.

The moderator for this event is Larry Levitt, Executive Vice President for Health Policy at KFF. The panelists include Troyen Brennan, MD, Fumiko Chino, MD, Anna Schwamlein Howard, and Kaye Pestaina. This event provides an opportunity for experts beyond the news headlines to discuss complex policy issues related to healthcare.

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