February 27, 2024 – Prior authorization is the method by which physicians should acquire advance approval for a tool, provide or remedy from the affected person's insurance coverage plan to make sure protection for the really useful service, in accordance with the American Academy of Household Physicians. And it makes GPs – and lots of different individuals – indignant.

Many physicians consider that this makes the insurer the ultimate arbiter of what medical care ought to or shouldn’t be supplied to their sufferers. They resent the truth that practices should acquire prior authorization by means of a number of platforms, together with net portals, digital portals, digital well being file methods, faxes, paper types and cellphone calls.

A lot of the fuss is because of Medicare Benefit plans. KFF (previously referred to as the Kaiser Household Basis) stories that in 2021:

Greater than 35 million prior authorization requests have been submitted to Medicare Benefit insurers.

Learn extra within the newest concern of Repertoire Journal.