I just wrote a sentence in a #priorauth denial appeal letter that I really liked. Sharing it here for other #physicians:

“If you deny this test, you are effectively practicing medicine without a license and going against the standards of care in oncology”

#fixpriorauth #patientcare #oncology #insurancedenials #MedMastodon

Thank you @kevinmd for publishing my latest personal essay: The insurance denial process: one oncologist's fight against a broken system

I strive to show the reality behind the scenes for all #MedMastodon right now

#FixPriorAuth #priorauthorization #healthcare #insuranceindustry #patientsafety #patientcare #patientexperience #physicianburnout #moralinjury

https://www.kevinmd.com/2023/04/the-insurance-denial-process-one-oncologists-fight-against-a-broken-system.html

The recent @ProPublica piece on the Cigna insurance denials inspired me to write this

It’s beyond time that our medical organizations and government stand up to these insurance behemoths the same way we individual physicians do. Before we’re all burned out and used up—and none of us are left

#MedMastodon #healthcare #FixPriorAuth

https://medmic.com/the-psychological-harm-from-health-insurance-denials-to-patients-and-physicians-cannot-be-undone/

RT @AmerMedicalAssn
Nearly two business days of care team time each week are taken up by the #PriorAuth workload for a single physician. It’s critical to #FixPriorAuth – and here’s what we’re doing. #FightingForDocs

RT @KoontzOncology
All of this thread 👇

#MedTwitter #OncTwitter #NurseTwitter #TwitteRx #FixPriorAuth https://twitter.com/vincentrk/status/1621239598088179713

RT @GIMaPreceptor@twitter.com

Hey #medtwitter #primarycare

#fixpriorauth … how long will it take 2legislate this out of our lives? What’s in center? - an insurer’s right 2keep premium$ or a trained physician &patient proceeding w an eval?

@MedicineForward@twitter.com @ACPinternists@twitter.com @gabrieldane@twitter.com @EricLast3@twitter.com @meggerber@twitter.com https://twitter.com/maaloufmd/status/1616562713156636673

🐦🔗: https://twitter.com/GIMaPreceptor/status/1616930620764033025

RT @dhpomerantz@twitter.com

It should not take #SoMe shaming to get insurers to approve necessary tests. #PatientsBeforeProfits #FixPriorAuth @MedicineForward@twitter.com @gabrieldane@twitter.com @ACPinternists@twitter.com https://twitter.com/audiosand/status/1615910360749592576

🐦🔗: https://twitter.com/dhpomerantz/status/1616170196561203200

“CMS estimates that efficiencies introduced through these policies would save physician practices and hospitals over $15 billion over a 10-year period.” #fixpriorauth #medicineforward https://www.healthcarefinancenews.com/news/current-prior-authorization-practices-are-adding-burnout-surgeon-general-says

Great to see this series created. #FixPriorAuth #MedicineForward @Medscape@twitter.com
https://www.medscape.com/viewarticle/987027

RT @AmerMedicalAssn@twitter.com

Insurer prior auth is overutilized, burdensome, and may put patients at risk. Here are the steps we’re taking to #FixPriorAuth. #FightingForDocs

🐦🔗: https://twitter.com/AmerMedicalAssn/status/1615816297140322306

RT @MarilynHeineMD@twitter.com

Expert panel on #fixpriorauth. Some takeaways:

•Patient stories matter
•Patients testifying how their care is delayed is impactful
•It’s all about the patients
•Data helps
•#OurAMA resources are valuable
•Learn from Federation experiences

⁦⁩#StateAdvocacySummit

🐦🔗: https://twitter.com/MarilynHeineMD/status/1614310264161316864

Incredilbly proud of our team at @MedicineForward@twitter.com & @ACPinternists@twitter.com for taking on this massively important challenge. Thank you @ShikhaJainMD@twitter.com @tmprowell@twitter.com @n8pennell@twitter.com @DavidPugach@twitter.com Adrienne White-Faines, and all of our members. You are amazing! Together WE CAN #FixPriorAuth. Onward 🚀

RT @MedicineForward@twitter.com

So grateful for the support we received while advocating for the passage of the Sr's Timely Access to Care Act. While the bill did not pass through the senate this time, we are confident that our efforts have made a difference. Thank you for standing with us! #FixPriorAuth

🐦🔗: https://twitter.com/MedicineForward/status/1606322281785004032

#FixPriorAuth #MedTwitter #CharlesDickens #ChatGPT

#FixPriorAuth #CharlesDickens #MedTwitter #ChatGPT

Mind-numbing is right. #FixPriorAuth @MedicineForward@twitter.com
https://www.marshall.senate.gov/newsroom/press-releases/mind-numbing-mental-health-prior-authorization-process-discussed-at-senate-hearing/

RT @tmprowell@twitter.com

#FixPriorAuth #MedTwitter

cc @MedicineForward@twitter.com https://twitter.com/druvbhagavan/status/1518787154796757003

🐦🔗: https://twitter.com/tmprowell/status/1600751998990954499

Appears to be strong industry support for @CMSGov@twitter.com electronic prior auth push. I'm glad to have more people backing it ...AND let's make sure real people are the primary beneficiaries of an improved system (not big business). #FixPriorAuth
https://www.beckerspayer.com/payer/4-reactions-to-cms-prior-authorization-improvement-proposal.html

RT @tmprowell@twitter.com

📣 #MedTwitter CMS new proposed rule would #FixPriorAuth, requiring certain payers to include a specific reason when denying requests, publicly report prior auth metrics, & send decisions w/in 72h for expedited requests & 7d for non-urgent requests. https://www.cms.gov/newsroom/press-releases/cms-proposes-rule-expand-access-health-information-and-improve-prior-authorization-process

🐦🔗: https://twitter.com/tmprowell/status/1600699700121722880

RT @MadisonConces@twitter.com

Extra (uncompensated) work that didn’t need to be done.

#FixPriorAuth #StopBurnout https://twitter.com/gabrieldane/status/1600626760600948736

🐦🔗: https://twitter.com/MadisonConces/status/1600635058188058626