When it comes to digital platforms meant to ease the prior approval burden, many procedures can receive almost instantaneous approval after a few keyboard clicks, but when a case isn’t cookie-cutter, these tools often aren’t very helpful—and might even make the process more of a headache than it would have been back in the old days.
Articles tagged with "insurance"
An underdiscussed topic in our field is the way in which decisions by payers can prevent the delivery of high-value, patient-centered care and increase cost.
Nearly 40% of study participants cited unexpected treatment costs cancer care
Doctors Rima and Robert DeFatta, married otolaryngologists who work at Sacred Heart Hospital in Eau Claire, Wisconsin, spend about an hour each day dealing with insurance-related hassles. About 20 percent of their patients are un- or underinsured, so the two physicians spend time dashing off letters to insurance companies, re-jiggering treatment plans and helping patients access available resources. Recently, Rima DeFatta, MD, had to figure out how to diagnose a patient who presented with symptoms that suggested possible neurologic involvement.
There is a Chinese proverb that is both a blessing and a curse. The blessing is, “May you live in interesting times,” and the curse is, “May you live in interesting times.” All of us would like things to stabilize into a constant, comfortable and predictable environment for us to live our lives, raise our families and care for our patients. We are entering the most complex and challenging period that medicine has experienced since the 1960s when Medicare was introduced. From now on, everything we have come to know and are comfortable with in our professional lives will change.