Prior Authorization Resources
Government Accountability Office (GAO)
GAO released a report that found states are not properly monitoring plans' prior authorization decisions.
Read MoreOffice of Inspector General (OIG)
OIG released an impact brief on Medicare Advantage prior authorization that highlights the impacts of OIG's oversight work.
Read MoreHealth Affairs
A study conducted which demonstrates that prior authorization affected an increasing share of prescription drugs.
Read MoreAmerican Journal of Managed Care (AJMC)
A study to address trends in the use of prior authorization requirements among Medicare Advantage plans.
Read MoreBritish 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.
Read MoreMedical Group Management Association (MGMA)
MGMA releases regulatory burden report which includes a survey that represents over 350 group practices.
Read MoreKaiser Family Foundation (KFF)
Evidence from KFF study on problems consumers have with prior authorization.
Read MoreOffice of Inspector General (OIG)
OIG conducted a study on whether MCOs were providing necessary services to their enrollees.
Read MoreMedical Group Management Association (MGMA)
MGMA survey finds prior authorization is increasingly burdensome for medical group practices.
Read MoreOffice of Inspector General (OIG)
OIG developed a managed care strategic plan and designated managed care as a priority area.
Read MoreKaiser Family Foundation (KFF)
Over 35 million prior authorization requests submitted to Medicare Advantage plans in 22021.
Read MoreAmerican Society of Clinical Oncology (ASCO)
Survey shows negative impact of prior authorization on cancer care.
Read MoreGovernment Accountability Office (GAO)
New GAO study finds prior authorization less likely to be granted for mental health.
Read MoreMedical Group Management Association (MGMA)
MGMA finds virtually all medical groups say payer prior authorization requirements aren't improving.
Read MoreAmerican Association of Neurological Surgeons (AANS)
AANS conducted research to show the negative impacts of prior authorization.
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