prior authorization
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Advantages
- prior authorization may reduce unnecessary expenses
Disadvantages
- prior authorization delays timely delivery of medical care
- prior authorization increases physicians' administrative burden
Management
- many physicians hire staff to process requests for prior authorization
- American Medical Association & other health groups are against health insurance companies growing use of artificial intelligence to automate prior authorization denials[2]
References
- ↑ Cryts A. 'Gold Cards' Allow Texas Docs to Skip Prior Authorizations Medscape - Jul 15, 2021 https://www.medscape.com/viewarticle/954869
- ↑ 2.0 2.1 AMA Morning Rounds. June 24, 2025 American Medical Association.
Fornell D ASNC and AMA push back against AI prior authorization denials Cardiovascular Business. June 23, 2025 https://cardiovascularbusiness.com/topics/healthcare-management/healthcare-policy/asnc-and-ama-push-back-against-ai-prior-authorization-denials