Becker's Healthcare November 18, 2024
Transparency is a healthcare buzzword used in a number of broad contexts, but frequently appears in discourse about the relationship among physicians, payers and patients.
“I think transparency can be about the health insurance structure and what that means when patients have tests and treatments that need prior authorization from their insurance company,” said Carla LoPinto-Khoury, MD, a professor of neurology at Temple University in Philadelphia.
Prior authorization is a significant area where physicians have urged for more transparency on payer processes and decision-making. According to Medscape’s “‘They’re Awful and Impede Patient Care’: Medscape Physicians and Prior Authorizations Report 2024,” 73% of physicians said that they could not “learn relatively quickly” whether a patient’s health plan would require...
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