In recent years, a growing number of health insurance consumers have reported that their insurers 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.
In an effort to address these concerns, new rules have been finalized for how insurers use prior authorization in various health care plans. Additionally, lawmakers are considering broader legislation on the topic. To discuss the future of prior authorization requirements in health care, a panel of experts will gather on Feb. 22 at Noon ET. The moderator for this event is Larry Levitt, Executive Vice President for Health Policy at KFF.
The panelists include Troyen Brennan, MD, Fumiko Chino, MD, Anna Schwamlein Howard, and Kaye Pestaina. They 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.
KFF’s virtual Health Wonk Shop series offers in-depth policy discussions with experts beyond the news headlines. This event provides an opportunity to learn more about the complex issues surrounding prior authorization and its impact on healthcare delivery in the United States today.