• Prior Authorization

    AAFP members consistently characterize prior authorization as among the most demanding administrative burdens they and their practice staff confront each day. Physicians report that prior authorization requirements are continually increasing, taking time away from patient care and putting financial strain on primary care practices.

    documentation burden

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    What is the AAFP doing to help with prior authorization?

    Prior authorization continues to be a leading cause of physician burden. Time-consuming administrative processes encumber family physicians, divert valuable resources from direct patient care, and delay the start or continuation of necessary treatment. This leads to lower rates of patient adherence to treatment, as well as negative clinical outcomes.

    The AAFP fiercely drives efforts to reform prior authorization and remains focused on enabling physicians and patients to have access to clear guidelines for prior authorization requirements and timely responses from insurance plans.