New Cardiovascular Research Findings from Yale University School of Medicine Outlined (Burden With No Benefit: Prior Authorization In Congenital Cardiology): Cardiovascular Research

2023 OCT 20 (NewsRx) -- By a News Reporter-Staff News Editor at Insurance Daily News -- Investigators publish new report on Cardiovascular Research. According to news reporting originating in New Haven, Connecticut, by NewsRx journalists, research stated, “Prior authorization is a process that health insurance companies use to determine if a patient’s health insurance will cover certain medical treatments, procedures, or medications. Prior authorization requests are common in adult congenital and pediatric cardiology (ACPC) due to need for advanced diagnostics, complex procedures, disease-specific medications, and the heterogeneity of the ACPC population.”

Financial support for this research came from The authors would like to acknowledge the patients, families, and care providers of those with congenital heart disease that struggle every day with the prior authorization process..

The news reporters obtained a quote from the research from the Yale University School of Medicine, “Prior authorizations in ACPC are rarely denied, but nonetheless, they are often accompanied by significant administrative burden on clinical care teams and delays in patient care. Prior authorizations have been implicated in worsening care inequities. The prior authorization process is insurer specific with differences between commercial and public insurers. Prior authorization rejections were previously found to be more common for women, racial minorities, those with low education, and in low-income groups. Prior authorization unduly burdens routine diagnostics, routine interventional and surgical procedures, and routine cardiac specific medication use in the ACPC population.”

According to the news reporters, the research concluded: “This manuscript highlights the burdens of prior authorization and advocates for the elimination of prior authorization for ACPC patients.”

This research has been peer-reviewed.

For more information on this research see: Burden With No Benefit: Prior Authorization In Congenital Cardiology. Pediatric Cardiology, 2023. Pediatric Cardiology can be contacted at: Springer, One New York Plaza, Suite 4600, New York, Ny, United States. (Springer - www.springer.com; Pediatric Cardiology - http://www.springerlink.com/content/0172-0643/)

Our news correspondents report that additional information may be obtained by contacting Brian S. Marcus, Yale University School of Medicine, Pediat Cardiolog, 205 Church St, New Haven, CT 06510, United States. Additional authors for this research include Neha Bansal, Joshua Saef, Christina Fink, Angira Patel, Katherine D. Shaffer, John E. Mayer, Jonathan N. Johnson, Kenneth Shaffer and Devyani Chowdhury.

The direct object identifier (DOI) for that additional information is: https://doi.org/10.1007/s00246-023-03255-1. This DOI is a link to an online electronic document that is either free or for purchase, and can be your direct source for a journal article and its citation.

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