White Papers
May 28, 2025

Why Do Health Plans Require Prior Authorization?

Some patients may view the requirement to get prior authorization for a medical service or medication as a burden, but it’s actually an important tool, selectively used, to keep coverage affordable and ensure the best patient outcomes. Obtaining prior authorization and determining medical necessity help ensure care is appropriate, proven, timely and effective. Learn more below about the myths and facts of prior authorization and medical necessity.

You can also download the PDF here.

 

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