Prior authorization (PA) reform has been a long time coming. Will we finally start to see some changes with the passage of the Reducing Medically Unnecessary Delays in Care Act of 2025, the finalization of the Centers for Medicare and Medicaid Services’ (CMS’) Interoperability and Prior Authorization Final Rule in January 2024, the introduction of provider gold cards and payer scorecards, and a shift to electronic authorization systems?
Now is the perfect time to acknowledge the emotions everyone has during transitions, and to focus on the common goals that bring us all together and the creation of an environment that cultivates honest, constructive conversations and highly functioning teams
Healthcare, like many other fields, saw the “Great Resignation” in the 2021 post-COVID-19 era and then shifted in 2023 to what Gallup calls the “Great Detachment,” describing the phenomenon of employees staying in their jobs despite record low job satisfaction because of a cooling job market and inflation.