Previous article

Improving EHR Efficiency Through Individualized Optimization Sessions

Prior Authorization Reforms: The New Reality

ALICE G. GOSFIELD, JD

FPM. 2026;33(4):24-28.

Author disclosure: no relevant financial relationships.

This content conforms to AAFP criteria for CME.

Alice Gosfield is principal at Alice G. Gosfield and Associates, PC, Philadelphia.

Send comments to fpmedit@aafp.org, or add your comments to the article online.

Author disclosure: no relevant financial relationships.

1.Consensus Statement on Improving the Prior Authorization Process. America's Health Insurance Plans. 2018. Accessed June 2, 2026. https://www.ahip.org/resources/2018-prior-authorization-consensus-statement
2.Health plans take action to simplify prior authorization (press release). America's Health Insurance Plans. June 23, 2025. Accessed June 2, 2026. https://www.ahip.org/news/press-releases/health-plans-take-action-to-simplify-prior-authorization
3.Prior Authorization White Paper. National Association of Insurance Commissioners. Dec. 4, 2025. Accessed June 2, 2026. https://content.naic.org/sites/default/files/inline-files/PA%20white%20paper%2012.4.2025%20final.pdf
4.Biniek JF, Sroczynski N, Freed M, Neuman T. Medicare Advantage insurers made nearly 53 million prior authorization determinations in 2024. KFF. Jan 28, 2026. Accessed June 2, 2026. https://www.kff.org/medicare/medicare-advantage-insurers-made-nearly-53-million-prior-authorization-determinations-in-2024/
5.Gosfield AG. Prior authorizations under the gun. In: Health Law Handbook. Thomson Reuters, 2026. In press. Accessed June 2, 2026. https://www.gosfield.com/images/PDF/Prior_Auth_with_cover.pdf

Previous article

Improving EHR Efficiency Through Individualized Optimization Sessions

Copyright © 2026 by the American Academy of Family Physicians.

This content is owned by the AAFP. A person viewing it online may make one printout of the material and may use that printout only for his or her personal, non-commercial reference. This material may not otherwise be downloaded, copied, printed, stored, transmitted or reproduced in any medium, whether now known or later invented, except as authorized in writing by the AAFP. See permissions for copyright questions and/or permission requests.