Insurance companies (pre authorizations) have no business deciding what tests and treatment a Provider orders!

Health
1

It is a nightmare and a huge waste of time waiting on insurance pre authorizations. THEY are NOT medical professionals. Patients end up spending way more time and energy, often when very sick and in need of immediate care, waiting on approval and denied approval. Too many people involved deciding a patients treatment.

4 Likes
2

Pre-authorization procedures eat up time for the medical staff as well since the physician’s office that prescribed the medication have to okay the prescription a second time that the physician already wrote up for the patient.
It can also take a lot of time for the poor insurance
customer support personal trying to get the physician on the line and go through a long list of things to get the authorization. Meanwhile, the customer support personnel is getting bad marks by the supervisors, if the call takes over a certain amount of time.

3

Shawn

Please see my post from yesterday. I have laid out a plan how to accomplish some of your proposals. I agree with your post completely.

We need to increase private practice physicians in America and reduce regulations . My post is labeled " Assisting and Sustaining the Ability for Private Practice Physicians to Thrive, Restore Provider Autonomy, and Decrease Government Regulations". I even have an executive order posted. I look forward to you r comments.
Scott Tzorfas, MD

4

Does government regulations include insurance regulations? Can we put the power back to the physicians and take away from insurance. They are there to pay the bill after their exorbitant prices, not to prescribe care. Thanks for doing! I’m an RN of 37 years. Recently obtained my legal nurse consultant certificate and am looking to join the fight.

5

Because insurance companies are the ones who decide what treatments they will pay for,
the medical profession works for the insurance company, not for the patient
(we shouldn’t be called PATIENT, we are CUSTOMERS)
Also it shouldn’t be up to a Medical Board to discipline doctors. We investigated ourselves and found nothing wrong.
We need neutral oversight boards for insurance and doctors to hold them accountable when they don’t provide the care needed to the Customers who are sick and can’t fight for themselves when they are in most need.