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Key Results of Industry Survey on Prior Authorization


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Published on Jun 8, 2020

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Key Takeaways

  • Industry survey based on responses from 44 plans covering 109 million commercial enrollees.
  • Affirms the value of prior authorization programs in promoting quality and safety and reducing misuse and waste.
  • Highlights evidence-based and targeted nature of programs, use of provider input, and regular review.
  • Identifies the greatest opportunity for improvement as automation.