this post was submitted on 01 Oct 2024
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I owe them a painful, chronic condition.

fidel-bat

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[–] Wertheimer@hexbear.net 7 points 2 months ago

“These care delays aren't just inconveniences, they aren’t annoyances,” Heather McComas, PharmD, director of the AMA’s administrative simplification initiatives, said during the webinar.

“Our physicians are saying that prior-authorization care delays actually hurt patients: 80% of physicians reported that prior authorization can lead to patients completely abandoning a prescribed or ordered course of care,” McComas said. “Most alarming, one-third of physicians reported that prior authorization has led to a serious adverse event for a patient in their care. And a serious adverse event is something like hospitalization, permanent impairment or even death.”

https://www.ama-assn.org/practice-management/prior-authorization/once-just-burden-prior-authorization-has-become-nightmare

[–] SteamedHamberder@hexbear.net 7 points 2 months ago

Kaiser Permanente, show yourself.

[–] LanyrdSkynrd@hexbear.net 6 points 2 months ago (1 children)

Propublica had an article about insurance company denials. Cigna denied 300,000 claims in 2 month, with doctors spending an average of 1.2 seconds on each case.

https://www.propublica.org/article/cigna-pxdx-medical-health-insurance-rejection-claims

They try to say this system is about preventing waste, but it's purpose is making it too hard to get health care, so you'll give up or die before they have to pay.

[–] Wertheimer@hexbear.net 1 points 2 months ago

Thanks for the link.

It's bad out there, folks.

[–] LodeMike 4 points 2 months ago