Coalition releases prior authorization principles to facilitate patient access to care
AHA News Now
Jan 25, 2017
The American Medical Association and 16 other health care organizations, including the AHA, today released a set of 21 principles for ensuring that prior authorization requirements do not hinder patient access to care. Members of the coalition – which includes representatives from hospitals, medical groups, patients, pharmacists and physicians – seek to work collaboratively with health plans and others to implement fair prior authorization programs that are consistent with these principles. The principles are grouped into five categories: clinical validity; continuity of care; transparency and fairness; timely access and administrative efficiency; and alternatives and exemptions.
Topic: Access and Coverage
Tags: Coverage, access, administrative simplification