cost-effective patient care

What Is Prior Authorization and Why Is It Important in Healthcare?

Imagine you’re running a busy medical practice, and a patient needs a critical diagnostic test or medication to address a serious health concern. But before the treatment can move forward, the insurance provider must give the green light. This process, known as Prior Authorization (PA), often stands as the gateway to accessing covered healthcare services. For healthcare providers, understanding prior authorization is not just a bureaucratic necessity—it’s a vital step in ensuring patients receive timely care while managing costs and