Prior Authorization Resources

American Academy of Orthopaedic Surgeons (AAOS)

AAOS study finds prior authorization adds delays without saving costs for hip replacement patients.

Kaiser Family Foundation (KFF)

A KFF Health Tracking Poll revealed that most Americans find the prior authorization process burdensome.

Medscape

Medscape published an infographic that presents findings from a new report about doctors' experiences with prior authorization.

Government Accountability Office (GAO)

GAO released a report that found states are not properly monitoring plans' prior authorization decisions.

Health Affairs

A study conducted which demonstrates that prior authorization affected an increasing share of prescription drugs.

Office of Inspector General (OIG)

OIG released an impact brief on Medicare Advantage prior authorization that highlights the impacts of OIG's oversight work.

Kaiser Family Foundation (KFF)

Evidence from KFF study on problems consumers have with prior authorization.

Office of Inspector General (OIG)

OIG conducted a study on whether MCOs were providing necessary services to their enrollees.

Medical Group Management Association (MGMA)

MGMA survey finds prior authorization is increasingly burdensome for medical group practices.

Office of Inspector General (OIG)

OIG developed a managed care strategic plan and designated managed care as a priority area.

Kaiser Family Foundation (KFF)

Over 35 million prior authorization requests were submitted to Medicare Advantage plans in 2021.

American Society of Clinical Oncology (ASCO)

Survey shows negative impact of prior authorization on cancer care.

Government Accountability Office (GAO)

New GAO study finds prior authorization less likely to be granted for mental health.

Medical Group Management Association (MGMA)

MGMA finds virtually all medical groups say payer prior authorization requirements aren't improving.

Congressional Research Service (CRS)

CRS provides information on the Seniors' Act and prior authorization use in Medicare Advantage.