Prior authorization continues to delay patient care and treatment, impact outcomes, and drive up health care costs for all Hoosiers. Physician offices advocate for their patients but are forced to waste valuable time and resources on these burdens.
Your stories about how prior authorization impacts patients are a powerful way to help ISMA put
Patients Over Prior Auth.
Please participate in ISMA’s newest advocacy initiative by
sending us the latest example(s) of payors inappropriately putting prior auth over patients. Since the short intake form went live, dozens of stories have already been submitted to ISMA.
Richard Feldman, MD, submitted: “I had a patient who had a rapidly progressing autoimmune neurologic disease who failed high-dose IV steroids and serum plasmapheresis. After a lot of prior authorization issues, they were finally approved for a specific brand-name IVIG. This specific brand was not available anywhere. I submitted multiple PAs for a different brand name that was available. I went in circles trying to get this brand approved and never could get approval. The neurologist told me that sometimes you just have to put someone in the hospital to get the patient's needs. The patient was deteriorating. We put them in the hospital and ordered the IVIG. I do not know which entity actually paid for the IVIG, either the insurance company or the hospital. This was an avoidable, expensive hospitalization.”
There is no limit on the number of submissions you can make. In fact, the more examples we have, the more impactful it will be -- even if they are repetitive.
Please consider forwarding this article/survey to your colleagues, even if they’re not ISMA members. We want to hear from as many Hoosier physicians as possible.
Thank you for continuing to advocate for the well-being of all Hoosiers. Your participation in this
Patients Over Prior Auth initiative will help bring about vital change.
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