Episode 040: How Prior Authorization Delays Care and Frustrates both Patients and Physicians with Dr. Mark Lopatin
Episode 040: How Prior Authorization Delays Care and Frustrates both Patients and Physicians with Dr. Mark Lopatin
- Great Transparency: We need to have the true cost differences related to the restrictions on treatments or medications and the reasons those exist. They can't just be buried in the legalese on some insurance company website.
- Peer-to-Peer Reviews: Only people with a similar background to the treating physician can impede the authorization of treatments from the providing physician. It is ridiculous that someone might be specialist in say kidneys (nephrologist) making treatment recommendations to a cardiologist.
- Insurance companies who deny care or change treatment should be held legally liable for their medical decisions: Self explanatory but if physicians are expected to be held responsible for treatment then so should those who change the way their patients are cared for by restricting or making erroneous recommendations.
show notes
@LopatinMD: Twittering for Dr. Lopatin
Pennsylvania Medical Society: A place to search and find more of Dr. Lopatin's writings and activities
Who Should Make Your Medical Decisions?: The Article written by Dr. Lopatin exploring the problems of prior authorizations
Adventures in Prior Authorization: Appeared in the New York Times Opinion Section in 2014
The Impact of Prior Authorizations: A good synopsis of the problem with prior authorizations
Former Aetna Medical Director Admits to Never Reviewing Medical Records Before Denying: Published in Forbes magazine
AMA Prior Authorization Study: Sponsored by the AMA, a reflection of the impact of the prior authorization process on physicians.
Episode 005: What Happened to all the drugs? A discussion of PBMs (Pharmacy Benefit Managers) with Marion Mass
Episode 013: Dr. John Hunt hilariously relates how he charged the insurance companies for doing prior authorization work and almost lost his job with the university
Memorial for Andy Larson: This is the donation link to honor Andy's death with the Grand Rapids Choir of Men and Boys where he blossomed and served as a head chorister.
YouTube for Paradocs: Here you can watch the video of my late son singing his solo on the Paradocs YouTube page.
Patreon - Become a show supporter today and visit my Patreon page for extra bonus material. Every dollar raised goes towards the production and promotion of the show.