• Thu. Feb 29th, 2024

The Reality of Prior Authorization: Insights from Experts on How Health Insurance Delays Care for Patients

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)

Nearly 1 in 5 consumers with health insurance have experienced delays or denials in care due to prior authorization requirements, which is a process where insurers require patients to obtain approval before they will cover specific services. While insurers argue that this is a cost-saving tool by limiting unnecessary and ineffective care, it is under scrutiny for creating barriers to care for patients and adding paperwork for providers.

In response to these concerns, new rules have been finalized for how insurers use prior authorization in various health care plans, and lawmakers are considering broader legislation on the topic. On Feb. 22 at Noon ET, a panel of experts will discuss the future of prior authorization requirements in health care. The panelists will address the reasons for using prior authorization, its impact on patients and providers, and how the new regulations may change current practices. They will also consider the potential for future 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 are Troyen Brennan, MD, Fumiko Chino, MD, Anna Schwamlein Howard, and Kaye Pestaina. KFF’s virtual Health Wonk Shop series offers in-depth policy discussions with experts beyond the news headlines.

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