Heart Rhythm Society and Heart Rhythm advocates position statement: Prior authorization in cardiac electrophysiology: Evidence, policy, and reform

The authors investigate how prior authorization (PA) requirements from Medicare Advantage and commercial insurers create barriers to necessary cardiac electrophysiology care, leading to patient harm and increased administrative burdens. They analyze the financial and structural factors contributing to these denials, review oversight findings, and highlight the clinical consequences of PA delays. The paper concludes with recommendations for improving the appeals process and advocating for reform in the regulatory landscape.