Survey: Commercial Health Insurance Practices that Delay Care, Increase Costs Infographic
Certain commercial health insurer policies and administrative practices delay patient care, overburden clinicians and withhold critical payments from providers.
Contributing to workforce burden:
- 95% of hospitals and health systems report increases in staff time spent seeking prior authorization approval.
- 84% report the cost of complying with insurer policies is increasing.
- 0% say it's decreasing.
And much of this effort and cost is unnecessary. 62% of prior authorization denials and 50% of initial claims denials that are appealed are ultimately overturned.
And it is only getting worse.
- 78% of hospitals and health systems report that their experience with commercial insurers is getting worse.
- Less than 1% said it’s getting better.
AHA Comments on the Advancing Interoperability and Improving Prior Authorization Processes Proposed Rule