Prior authorization in healthcare is examined, focusing on its role, challenges, and how patients can navigate the process. Healthcare reporter Sarah Boden explains that prior authorizations are intended to prevent unnecessary medical costs and ensure appropriate care, but the triggers for requiring them remain unclear, often causing delays and frustration for both doctors and patients. The discussion highlights that prior authorizations are not always limited to expensive treatments, sometimes affecting generic drugs and basic procedures. Listeners are advised to proactively check authorization expiration dates, understand appeal processes, maintain thorough medical records, and request urgent reviews when necessary to avoid disruptions in care.
Sign in to continue reading, translating and more.
Continue