Nearly 1 in 5 consumers with health insurance report that their insurer delayed or denied care in the past year due to prior authorization requirements. Prior authorization is a process where insurers require patients to obtain approval before they will cover specific services. Insurers argue that this is a cost-saving tool by limiting unnecessary and ineffective care. However, 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. The future of prior authorization requirements in health care will be discussed at an event on Feb. 22 at Noon ET. A panel of experts 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.