Prior Authorization Postpones Health Treatment?

Physicians across the country and across specialties are urging the Centers for Medicare & Medicaid Services (CMS) to reduce the harms and burdens of prior authorization by incorporating Consensus Principles into its policies and encouraging other payers to do so as well. The Consensus Principles were developed by national provider associations and insurer trade organizations.

The letter, led by the American Medical Association (AMA) and signed by 104 other medical societies, thanks CMS for tackling prior authorization through its Patients Over Paperwork initiative. CMS Administrator Seema Verma has acknowledged publicly that prior authorization interferes with and delays treatment, and contributes to physician burnout.

The letter notes that industry focus on only the technological aspects of prior authorization will not solve the problem and, in fact, could set the stage for increased use of prior authorization. The AMA and other signatories are offering assistance to CMS in advancing the important reform goals incorporated in the Consensus Principles.
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