February 23, 2024 12:24 am
The Health Wonk Shop: Prior Authorization in Health Insurance – A Tool for Cost Containment or a Barrier to Needed Care? (Virtual Event on Feb. 22)

Health insurers have been under fire for delaying or denying care to patients due to prior authorization requirements. Prior authorization is a process that requires patients to obtain approval before their insurer will cover specific services. While insurers argue that this helps to limit unnecessary and ineffective care, it has been criticized for creating barriers to care 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. As a result of these changes, some consumers with health insurance have reported that their insurer delayed or denied care in the past year due to prior authorization requirements.

On Feb. 22 at Noon ET, a panel of experts will discuss the future of prior authorization requirements in health care. The panelists will include Larry Levitt, Executive Vice President for Health Policy at KFF, 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.

The virtual Health Wonk Shop series by KFF offers in-depth policy discussions with experts beyond the news headlines. This event promises to provide valuable insights into one of the most pressing issues facing healthcare today: prior authorization requirements and their impact on both patients and providers.

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