News|Articles|June 20, 2025

AJMC® in the Press, June 20, 2025

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Key Takeaways

The current prior authorization process negatively impacts patient care, leading some practices to switch to a cash-only model.
A report reveals that 45% of insured adults received unexpected medical bills for services they believed were covered.
17% of insured adults were denied coverage for services recommended by their physicians, highlighting systemic issues in health insurance.

Coverage of our peer-reviewed research and news reporting in the health care and mainstream press.

Articles with KFF Health News and NBC News referenced a commentary published in the April 2025 issue of The American Journal of Managed Care^® (AJMC^®). The commentary, “Prior Authorizations and the Adverse Impact on Continuity of Care,” focused on how the current process for prior authorizations can have negative impacts on patient care, which has led to practices switching to a cash-only business model.

An article from Moneywise referenced an article published on AJMC.com, the website of AJMC. The article, “Survey Exposes Pervasive Billing Errors, Aggressive Tactics in US Health Insurance,” covered the results of a report that revealed that 45% of adults with insurance received a medical bill for a service that they thought was covered and 17% were denied coverage for a service that was recommended by a physician.