• Fri. Mar 1st, 2024

Prior Authorization in Health Care: Balancing Cost Savings with Patient Access


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)

In the past year, almost 1 in 5 people with health insurance have reported that their insurer delayed or denied care due to prior authorization requirements. Prior authorization 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.

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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