Industry News

New Jersey Fights Pre-Auth Reqs

According to a 2022 survey by the American Medical Association, more than 90% of doctors say their patients have had to delay their health care because of prior authorization. A third of the doctors in that survey say the delay led to serious problems for their patients, like a life-threatening event, or hospitalization. As advocates continue to fight against insurance carriers’ pre-authorization requirements, a new law passed in New Jersey this January aims to speed up the process. Once it takes effect next year, health insurance companies have to decide on prior authorization within three days. If a doctor says their patient needs medicine urgently, the insurance company has to approve or deny it within 24 hours.