Cutting Down Prior Authorization Paperwork
March 1, 2015 - Rheumatologists are all too familiar with administrative burden on their practice. The national time cost to physician practices of interactions with health insurers, including seeking prior authorization for treatment and medications, is estimated between $23 billion to $31 billion annually. CSRO strongly supports state adoption of uniform prior authorization (UPA) policies to alleviate the burden.
State policies may require all providers and insurers to respectively use and accept a uniform prior authorization form or, at the least, provide a single short provider-wide form for all medications. California’s UPA form went into effect in the fall, while Illinois enacted a law requiring UPA forms. Several states will be considering similar legislation this session, including already-published bills in Virginia, New Jersey, New York and Arizona.