A recent study found that nearly 1 in 5 people with health insurance had their care delayed or denied 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, but it is under scrutiny for creating barriers to care for patients and adding paperwork for providers.
To address these concerns, new rules have been finalized for how insurers use prior authorization in various health care plans. Meanwhile, lawmakers are considering broader legislation on the topic. On February 22 at noon ET, a panel of experts will gather to discuss the future of prior authorization requirements in health care. 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 about prior authorization in healthcare. KFF’s virtual Health Wonk Shop series offers in-depth policy discussions with experts beyond the news headlines.