Prior Authorization Survey

MSSNY has worked together with numerous physician and patient advocacy groups in support of multiple pieces of legislation to reduce physicians’ administrative burden relating to ensuring their patients can receive the care and medications they need. 

These efforts have resulted in previous legislative successes, including a recent law that gives physicians greater authority to override a health insurer “step therapy” or “fail first” prescription medication protocol in certain circumstances. 

However, MSSNY continues to work for additional laws that reduce the need for unnecessary and repetitive prior authorizations that take time away from patient care delivery, as well as ensuring that current laws to reduce administrative burdens are being adhered to by health insurers.  Please take just a few minutes to complete the below survey.

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* 1. On average, how many hours per week does your practice spend dealing with health insurer prior authorization requirements for your patients?

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* 2. Have health insurer prior authorization requirements adversely impacted your patients’ health?

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* 3. How often are your prior authorization requests for patient care denied by the health insurer?

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* 4. How often do you have to repeat a prior authorization process in order to ensure your patient continues to receive needed care or prescription medications?

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* 5. In your opinion, do you believe that repeating a previously received prior authorization is necessary?

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* 6. Have you had to manage a health insurer “step therapy” or “fail first” protocol in order to ensure your patients’ receive the prescription medication they need?

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* 7. Are you aware that New York has enacted a law that gives physicians the ability to override a health insurer “step therapy” or “fail first” prescription medication protocol for their patients in certain circumstances?

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* 8. Have you attempted to override a health insurer “step therapy” or “fail first” prescription medication protocol?

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* 9. If your answer to #8 is yes, how often have you been successful in overriding a health insurer’s step therapy fail first protocol?

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* 10. How would you describe the process for attempting to override a health insurer’s step therapy protocol?

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* 11. Which prescription medications have required the most frequent step therapy override requests? 
Please explain.

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* 12. Which health insurers have imposed the most difficult step therapy override procedures? 
Please explain

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* 13. What is your region of practice? 

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* 14. What is the size of your practice?

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* 15. What is your specialty?

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* 16. Please share any further comments you may have?

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