The Health Wonk Shop: Prior Authorization in Health Insurance – A Tool for Cost Containment or a Barrier to Needed Care? (Virtual Event on Feb. 22)

In recent years, a significant number of health insurance policyholders have reported that their insurers delayed or denied care due to prior authorization requirements. Prior authorization is a process used by insurers to ensure that patients receive coverage for specific services only after approval has been obtained. This process has been criticized for creating barriers to care for patients and adding unnecessary paperwork for providers.

As a result of these concerns, new rules have been finalized on how insurers use prior authorization in various healthcare plans. In addition, lawmakers are considering broader legislation on the topic. On February 22 at noon ET, a panel of experts will discuss the future of prior authorization requirements in healthcare. The panelists will address the reasons behind using prior authorization, its impact on patients and providers, and how the new regulations may change current practices. They will also consider potential regulatory or legislative action to address ongoing concerns.

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 in-depth policy discussions with experts beyond the news headlines.

Prior authorization is a contentious issue in healthcare that has been under scrutiny in recent years due to its impact on patient care and provider workload. While some argue that it is an effective tool for limiting unnecessary and ineffective care, others contend that it creates barriers to care and increases administrative burden. As such, lawmakers are considering broader legislation on the topic while new rules have been finalized on how insurers use prior authorization in various healthcare plans.

On February 22 at noon ET, a panel of experts will gather to discuss the future of prior authorization requirements in healthcare. The panelists will explore the reasons behind using prior authorization, its impact on patients and providers, and how new regulations may change current practices. Additionally, they will consider potential regulatory or legislative action to address ongoing concerns.

The moderator for this event is Larry Levitt from KFF’s Health Policy team. The panelists include Troyen Brennan, MD; Fumiko Chino, MD; Anna Schwamlein Howard; and Kaye Pestaina.

In conclusion

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