In Alabama, the call to reform the prior authorization system is reaching a crescendo, with numerous physicians and patient advocates pushing for substantial changes. Prior authorizations, a common practice requiring health care providers to obtain approval from insurance companies before proceeding with prescribed treatments or medications, has become a notable point of contention.

In Auburn, AAFP-member Dr. Tonya Bradley shares troubling observations on how these delays impact patient care, particularly noting, “I see delays in patients getting chemo, I see delays in patients getting tests they need to diagnose problems that can be very urgent.” This not only exacerbates health issues but often contributes to heightened stress and deterioration in patient health.

According to physicians like Dr. Nina Ford-Johnson and AAFP President Dr. Brittney Anderson, the excessive bureaucratic processes associated with prior authorizations also add considerable strain on health care providers. They report spending excessive amounts of time on paperwork and ongoing negotiations with insurance companies—time that would otherwise be directed toward patient care.

With the rallying call led by these concerned physicians and backed by a coalition of partners, there’s a growing hope that substantive reforms can be achieved. For more information or to contribute your own experiences, visit AL Fix Prior Auth and join the effort to reform prior authorization in Alabama.