HIT Consultant October 18, 2024
The exasperation among doctors frustrated by prior authorization battles with health insurance providers is not unique. Prior authorization frustrates everyone in the healthcare industry — to say nothing of patients. But don’t forget about the health insurance company frustrations in this, too. For every doctor tired of submitting more information to justify warranted care, a payer is feeling the same frustration, having to make repeated requests for clinical information or waiting at the other end of a fax machine (a fax machine!) to obtain the information they need to ensure they are not spending their customers’ premium dollars on unnecessary care. What was once “healthy tension” in our healthcare system has become untenable. And the administrative costs associated with perpetuating...
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