Here are five numbers for ASC leaders and physicians to know about prior authorization in 2024:
61% — The percentage of physicians who said that patients frequently abandon a recommended treatment due to prior authorizations in Medscape's "They're Awful and Impede Patient Care: Medscape Physicians and Prior Authorization Report 2024."
77% — The percentage of physicians who said that payer policy changes are happening more frequently, according to Experian Health's "2024 State of Claims" survey.
85% — The percentage of physicians who do not see payer-appointed claims reviewers as "peers," according to a recent survey by the American Medical association.
51% — The percentage of physicians who support uniform prior authorization procedures among payers as a future reform to prior authorization, according to the Medscape survey.
46 million — The number of prior authorization requests that were submitted to Medicare Advantage insurers on behalf of program enrollees in 2022, according to an August 2024 report by KFF.