Impact of Utilization Management on Physician Autonomy and Shared Decision-Making in Oncology

Panelists discuss how increasing utilization management oversight affects physician autonomy and the shared decision-making process in oncology. They note that rigid prior authorizations and treatment mandates can undermine patient trust and disrupt the clinician-patient partnership.

Providers often spend significant time justifying care plans already supported by evidence, diverting resources from patient engagement. The discussion highlights the emotional toll of administrative barriers and the resulting fragmentation of care.

Panelists propose reforms such as transparent criteria, real-time electronic authorizations, and clinician-payer advisory boards to restore balance between oversight and professional independence.