Prior Authorization: An Adversary to Timely Patient Care

Abstract

The timeliness of patient care is often subject to the requirements of the prior authorization process for health insurance. From the perspective of insurance denials and administrative burdens, each stakeholder, including the patient, healthcare organization, and the payor, experience a degree of risk that requires the need to remove barriers affecting the prior authorization process. These challenges, however, can be combatted by seeking to enhance the communication between all stakeholders and integrating technology in a manner that creates a more efficient and effective prior authorization process.