Recently, almost one in five individuals with health insurance reported that their insurer delayed or denied care in the past year due to prior authorization requirements. Prior authorization is a process that requires patients to obtain approval from their insurers before they can receive specific services. While insurers argue that this is a cost-saving measure that prevents unnecessary and ineffective care, it has been criticized for creating barriers to care for patients and adding paperwork for providers.
In response to 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. KFF’s virtual Health Wonk Shop series offers an opportunity to delve deeper into policy discussions with experts beyond the news headlines.