Steps to Smarter Prior Authorization­

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Doctors, nurses, and patient access staff have struggled with prior authorization for years, but the burdens have been compounded by the COVID-19 pandemic.

In the early stages of the pandemic, some insurers relaxed requirements, but within a short time, doctors were again encountering hurdles in getting approval for services, according to the American Medical Association.

More than half of all doctors (52%) said payers never relaxed prior authorization requirements in the pandemic, according to an AMA survey in April 2021. Another 34% of those surveyed said insurers temporarily eased requirements but then reverted to normal.

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