Fact Based List:

AHIP: 10 Most Common Treatments Subject to Prior Authorization

Submitted by Charlene Ice on Wed, 11/23/2022 - 13:44


  1. Genetic Testing: 100%
  2. Specialty drugs: 100%
  3. Elective inpatient surgical services: 92%
  4. Elective inpatient medical services: 88%
  5. High cost non-specialty prescription drugs: 88%
  6. High-tech imaging: 88%
  7. Post acute care facility services: 88%
  8. Cardiology: 80%
  9. DME: 80%
  10. Orthopedics: 80%


Source: America's Health Insurance Plans (AHIP), November 14, 2022
Source URL: https://www.ahip.org/documents/2022-Prior-Auth-Survey-Result...



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