Becker's Healthcare November 18, 2022
Payers are increasingly issuing policies that push patients outside of hospital settings, according to Laren Tan, MD, chair of Loma Linda (Calif.) University Health’s department of medicine.
Dr. Tan joined Becker’s to discuss payer behavior and what he wishes his coworkers knew about his job.
Editor’s note: This response was edited lightly for brevity and clarity.
Question: Are you seeing payers moving procedures to the ASC setting, or are you seeing more obstacles to securing reimbursements?
Dr. Laren Tan: There are definitely more policies and obstacles being issued by payers that nudge patient care in obtaining treatments outside the hospital settings. At times the preauthorization can be complex, which leads to not only clinician frustration but also...