Patient Perspectives on Prior Authorization for Cancer Care
JAMA Network Open 10.1001/jamanetworkopen.2025.23807July 29, 2025 at 11:00 AM EDT
How do patients with cancer describe their experiences with prior authorization for cancer care?In this qualitative study of 89 participants, 4 interconnected themes emerged from the responses to an open-ended text prompt: blinded navigation, intersecting burdens, interference with care, and a broken system. Themes described patients’ perspectives that prior authorization is a confusing process that adds to the administrative, psychosocial, and financial burdens of cancer care.These findings suggest that prior authorization processes can lead to negative outcomes for patients, and efforts toward health insurance reform must be inclusive of the patient voice.
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