The latest AMA prior authorization survey indicates promised payer reforms are not materializing at scale. Over 90% of physicians report care delays due to PA, with 33% saying the process has worsened over the past year. The survey singles out UnitedHealthcare, Aetna, and Cigna for maintaining complex, manual processes that increase administrative costs. The operational impact: more staff hours per week diverted to chasing authorizations, particularly for advanced therapies in IBD, cardiology, and oncology. Monitor your primary payers' PA portals for any announced simplification; no immediate action is required but expect denials for missing or delayed PAs to continue rising.