Opinion
Time to rein in the broken prior authorization system
California health care, image by NiyazzOPINION – I see it all the time in my practice— prior authorization used to be required for only expensive, elective or new procedures, but it is now required for some of the most basic prescription drugs. And the data bears out what physicians are seeing, because while frequency rates of prior authorization denials in the commercial market remains mostly secret, we know that where we do have information – in the Medicaid and Medicare markets – the data paints a worrying picture.