Pre-authorization requirements are up at 86% of medical groups, MGMA poll finds

Payer pre-authorization requirements continue to rise, suggests a new Medical Group Management Association Stat poll.

The May 16 poll included applicable responses from 1,041 medical groups. Most respondents (86 percent) said payer pre-authorization requirements increased in the past year, while only 3 percent said they decreased. Eleven percent of respondents said payer pre-authorization requirements stayed the same.

Medical groups attributed the increase in payer pre-authorization requirements to more procedures requiring authorization than in previous years, along with the number of medication prescriptions also requiring authorization, MGMA said in a news release. MGMA said some respondents also cited the use of third-party companies for authorizations, which they contend adds time to the process.

Results from the latest MGMA Stat poll from May are similar to a March poll. In the March poll, 82 percent of respondents said pre-authorization requirements from health plans increased, while 9 percent said they did not see an increase at that time, according to MGMA. 

 

More articles on healthcare finance:

Texas Children's records $36.2M operating loss on insurance arm
5 healthcare CFOs in the headlines
Health system CEO pulls out $6M check to pay debts during budget hearing

 

Copyright © 2024 Becker's Healthcare. All Rights Reserved. Privacy Policy. Cookie Policy. Linking and Reprinting Policy.

 

Featured Whitepapers

Featured Webinars