Prior Authorization

As a physician, you want to provide the best care for your patient. We know that every day insurance companies make you jump through unnecessary hoops before you can deliver the care your patient needs. From prior authorization to step therapy to pre-certification, care for your patients is delayed or denied because of bureaucracy.

The weekly average of 29 prior authorizations per physician consumes an average of 15 hours of practice time. An administrative burden not reimbursable for physicians.

Prior authorization started in 1980s as a way to control costs of prescription drugs. Now, insurers require prior authorization for surgery, imaging, and medication. Not only is prior authorization burdensome, it can have negative consequences on patient care and has failed to provide cost savings.

Prior authorization impacts a physician’s ability to delivery appropriate care in a timely manner.

Insurance Permission Processes

• Prior authorization
• Step Therapy
• PBMs
• Pre-certification

Get Involved

Help us end the trend of insurance companies practicing medicine! We need you to:

1. Submit information to MSV by completing this form and faxing to 804-355-6189
2. Spread the word by talking to your colleagues and telling them to visit www.msv.org/priorauth  

Resources

The American Medical Association

Tips for Battling Prior Auth from Medical Economics