Summary:
A recent survey reveals that 73% of the public views delays and denials of health care services by insurance companies as a major problem, with widespread agreement across demographic and political groups. Despite a voluntary initiative by health insurers to reduce the burden of prior authorizations, only 20% of adults are aware of it, and 60% doubt insurers will follow through. Half of insured adults report needing prior authorizations in the past two years, with 47% finding the process difficult to navigate. This issue affects treatments across various specialties, causing delays and denials that impact patient care.
What This Means for You:
- Be Prepared: Familiarize yourself with your insurance policy’s prior authorization requirements to avoid unexpected delays in care.
- Advocate for Yourself: Work closely with your healthcare provider to ensure all necessary documentation is submitted promptly.
- Stay Informed: Monitor updates on initiatives like the voluntary pledge by insurers to reduce prior authorization burdens.
- Future Outlook: Skepticism remains high regarding insurers’ commitment to reform, so proactive engagement is essential to navigate the system effectively.
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Key Takeaways
- 73% of the public views delays and denials of health care services by insurance companies as a major problem.
- Only 20% of adults are aware of insurers’ voluntary initiative to reduce prior authorization burdens, and 60% doubt its effectiveness.
- 47% of those who faced prior authorizations found the process difficult, with delays and denials affecting access to care.
Prior Authorizations
Health insurers, alongside health officials, pledged to reduce prior authorization burdens, but public awareness is low, and skepticism about insurers’ commitment remains high.
Delays and denials of care are widely perceived as a major problem, with bipartisan agreement across income levels and insurance types.
Few adults think insurers will follow through on their pledge, highlighting ongoing challenges in navigating the health care system.
Experiences with Prior Authorizations
Half of insured adults report needing prior authorizations for treatments, with many experiencing delays or denials, particularly for specialized care.
Extra Information:
Insurers’ Pledge to Improve Prior Authorization provides deeper insights into the initiative. For a detailed analysis of prior authorization in Medicare Advantage, visit KFF’s Medicare Advantage Report.
People Also Ask About:
- What is prior authorization? It’s a process where insurers require approval before covering certain treatments or medications.
- Why is prior authorization a problem? It often delays care and creates administrative burdens for patients and providers.
- How can I avoid prior authorization issues? Work closely with your doctor and understand your insurance policy’s requirements.
- What services commonly require prior authorization? Surgery, specialty drugs, mental health services, and imaging are frequently subject to prior approval.
Expert Opinion:
The widespread perception of prior authorization as a major problem underscores the need for systemic reforms. While voluntary initiatives are a step forward, skepticism about insurers’ commitment highlights the importance of regulatory oversight to ensure meaningful change.
Key Terms:
- Health insurance prior authorization
- Delays in health care services
- Denials of health care treatments
- Health insurance reform initiatives
- Navigating prior authorization process
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