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Prior Authorization as a Potential Support of Patient-Centered Care

Author

Listed:
  • Leah Rand

    (University of Oxford, the Ethox Centre, Nuffield Department of Population Health)

  • Zackary Berger

    (Johns Hopkins Outpatient Center
    Johns Hopkins Berman Institute of Bioethics)

Abstract

We discuss the role of prior authorization (PA) in supporting patient-centered care (PCC) by directing health system resources and thus the ability to better meet the needs of individual patients. We begin with an account of PCC as a standard that should be aimed for in patient care. In order to achieve widespread PCC, appropriate resource management is essential in a healthcare system. This brings us to PA, and we present an idealized view of PA in order to argue how at its best, it can contribute to the provision of PCC. PA is a means of cost saving and as such it has mixed success. The example of the US demonstrates how implementation of PA has increased health inequalities whereas best practice has the potential to reduce them. In contrast, systems of universal coverage, like those in Europe, may use the cost savings of PA to better address individuals’ care and PCC. The conclusion we offer therefore is an optimistic one, pointing towards areas of supportive overlap between PCC and PA where usually the incongruities are most evident.

Suggested Citation

  • Leah Rand & Zackary Berger, 2018. "Prior Authorization as a Potential Support of Patient-Centered Care," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 11(4), pages 371-375, August.
    • Handle: RePEc:spr:patien:v:11:y:2018:i:4:d:10.1007_s40271-018-0299-3
    DOI: 10.1007/s40271-018-0299-3
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    References listed on IDEAS

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    1. Daniels, Norman & Sabin, James E., 2008. "Setting Limits Fairly: Learning to share resources for health," OUP Catalogue, Oxford University Press, edition 2, number 9780195325959.
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