Journal Article

Is Time Spent on Prior Authorizations Associated With Approval?

Madhusoodanan, Vinayak, Ramasamy, Ranjith, Ramos, Libert, Sathe, Aditya, Zucker, Isaac J.

2023

Overview

Advanced practice providers increasingly assume responsibility for prior authorizations (PAs). We hypothesized that the time burden of PAs will be correlated with increased approval. We collected several variables (ie, type, method, time spent, use of peer to peer, and outcome) for all PAs completed by a departmental nurse practitioner in 1 region. Chi-square tests and 2 sample t tests were used to assess significance. There was no significant association between the method of request, the number of attempts, and the time spent to approved PA. Further research is needed to determine ways to decrease the time and opportunity cost associated with PAs. •Advanced practice providers assume the responsibility for prior authorization.•Prior authorizations can be tedious and burdensome to navigate.•Prior authorizations have inconsistent intended outcomes for patients and providers.•Fewer prior authorizations can improve practice efficiency and patient outcomes.

• Publisher: Elsevier Inc,Elsevier Limited
• Subject: Advanced practice nurses / advanced practicing providers / Costs / Decision making / Erectile dysfunction / Health behavior / Health care policy / Medicare / men’s health clinic / Opportunity costs / Patients / Peers / prior authorizations / Time / Urology