Prior Authorization Resources

Health Affairs

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

American Journal of Managed Care (AJMC)

A study to address trends in the use of prior authorization requirements among Medicare Advantage plans.

British Medical Journal (BMJ)

A study to measure and compare the scope of insurers' policies for prior authorization and quantify differences in prior authorization across insurers, physician specialties, and clinical service categories.

Medical Group Management Association (MGMA)

MGMA releases regulatory burden report which includes a survey that represents over 350 group practices.

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 submitted to Medicare Advantage plans in 22021.

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.

American Association of Neurological Surgeons (AANS)

AANS conducted research to show the negative impacts of prior authorization.