Prior Authorizations Jeopardizing Patient Care, AMA Survey Says
Executive Summary
In a new American Medical Association survey, more than nine in 10 physicians – 92% – said prior authorizations needed from insurers to order medical services and treatments delay and negatively impact patient care.
You may also be interested in...
Industry Points To Gaps In Study Naming Imaging As Key US Cost Driver
A Harvard study concluded that higher utilization rates for advanced imaging in the US, compared to 10 other wealthy countries with higher life expectancies, help account for America's unnecessarily high spending on medical care. Industry argues the study misrepresents current imaging use.
Draft Clinical-Decision-Support Software Guide Paves A Path, But May Need Some Work
US FDA dropped three big digital-health guidances related to medical software as part of its initiative to help to streamline a path to market for a sector that is "increasingly embraced" by the health system and needs regulatory certainty, according to agency. But initial industry reaction to perhaps the most highly anticipated of the document, on clinical-decision-support software, is somewhat critical.
CMS Proposes High Payment Score For Use Of Imaging Appropriate-Use Criteria
In a proposed rule, the US Medicare agency said clinicians may count use of advanced imaging appropriate use criteria (AUC) through clinical decision support as a new and highly-weighted portion of an overall score to win reimbursement through the Merit-Based Incentive Payment System. The move was touted by the imaging industry.