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Unintended Consequences of Prior Authorization.

There are a number of ways that PAs could reduce burden on physicians, interfere less with patient care, save administrative costs for both sides and allow payors to focus on areas of overuse, waste and abuse of scarce healthcare resources. Development of "best practices" by physician organizations and payors working together to eliminate the need for prior authorization when such best practices are followed.2 The Missouri State Medical Association has been able to, through its advocacy on behalf of Missouri physicians and their patients, get S.B. 514 passed in 2019 and signed into law. The COVID-19 pandemic has led the Centers for Medicare and Medicaid Services to allow waivers of PAs by Medicare Advantage (MA) Plans and Medicare Part D to facilitate healthcare access for beneficiaries during the public health emergency.3 It is not clear if the MA Plans have taken advantage of this flexibility.