Expensive and Harmful: The Problem of Prior Authorizations

Take a guess: What is the average number of prior authorizations the U.S. physician does each week?

  • On average, practices complete 45 prior authorizations per doctor per week.
  • Nearly 9 of 10 doctors found prior authorization at least sometimes results in higher overall utilization (such as ineffective initial treatments and additional office visits).
  • Most doctors (80%) reported that prior authorization processes have resulted in treatment abandonment.
  • One-quarter of doctors reported that this led to a patient's hospitalization.

Source

American Medical Association. 2022 AMA Prior Authorization (PA) Physician Survey. Accessed May 9, 2023.