Becker's Healthcare February 14, 2025
Physicians are voicing growing frustration with payer policies that delay payments, deny necessary care and add administrative burdens.
From preauthorization headaches to reimbursement struggles, 10 leaders joined Becker’s to discuss the payer policies causing them the biggest concern.
Question: What payer policies or behaviors are currently causing you the greatest concern, and why?
Editor’s note: Responses were edited lightly for clarity and length.
Chacko Alappatt, MD. Medical Director of Arthritis and Osteoporosis Center of Southwest Ohio (Miamisburg): Several of the payers are requiring a chart note/records request before payment is sent. These instances are typically associated with high-dollar claims related to drug purchases which makes the delays in payments particularly frustrating. We are also seeing more “self-funded plans”...
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