Physicians interested in reducing the onerous prior authorization requirements are invited to join MMA President Nicole Clark, MD, and your colleagues in a conference call at 7 p.m. on May 31, 2018, to chart a path forward on PA reform.
This meeting will be an open forum for concepts to be presented on how to address prior authorization requirements to allow for more timely patient care. Receive the conference call information by contacting Misty at the MMA Executive Office at firstname.lastname@example.org or at 406-443-4000.
Since the formation of a prior authorization task force in 2017, Montana physicians have shared stories of burdensome prior authorization requirements that have resulted in patient care delays, added cost, and practice burdens. These stories spurred conversations on PA reform with Montana health plans and consideration of legislation. 2017 AMA Survey Provides Proof of Impact
Montana physicians’ stories shared are also now supported by the results from the 2017 AMA physician survey where strong evidence is provided of the significant impact this burdensome process can have on both patients and physician practices.
- Practices complete an average of 29.1 PAs per week per physician
- This PA workload requires 14.6 hours—nearly two business days—of physician and staff time.
- 84 percent of physicians characterized PA-related burdens as high or extremely high
- PA hassles also have been growing over time, with 86 percent of physicians reporting that PA burdens have increased over the past five years.
PA reform concepts advanced in other states and by the AMA have focused on several key areas, including reduction
in the overall volume of PAs, improved transparency and communication, protection of continuity of care, and automation to increase process efficiency.