Survey Reveals that Prior Authorization Is Bad for Business

February 18, 2022

The good news: ISMS-backed reform law is helping alleviate onerous PA requirements in Illinois

The American Medical Association (AMA) has released the results of a recent survey taking the pulse of physicians nationwide on the topic of prior authorization (PA). The big take away? Health insurers' practice of requiring prior authorization for certain medical procedures can "interfere with a healthy, productive workforce.

Here in Illinois, ISMS had also conducted a survey back in 2019 that revealed significant problems with the PA process. More than 95% of the physician surveyed reported that the prior authorization process caused harm to patients.

But thanks to ISMS, Illinois now has one of the most comprehensive prior authorization reform laws in the country!

ISMS initiated and led a coalition of healthcare organizations to secure passage of the Prior Authorization Reform Act, which took effect as a new law on Jan. 1, 2022. Among many other changes, this law increases transparency in the process and establishes standard response times by insurance companies to avoid delays and disruptions in medical care for patients, especially for those with chronic conditions who are stabilized on a prescribed treatment.

If you have questions, please contact ISMS Senior Vice President of State Legislative Affairs Erin O'Brien by email.

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