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. Almost 90 stories have already been submitted to ISMA since the short intake form went live.
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.
Peter H. Baenziger, MD, shared: “(An adolescent patient) with terminal brain cancer and associated nausea, anorexia had to wait six days from initial script writing to picking up for a script for relief from their symptoms.”
Mercy Obeime, MD, submitted: “I’m board-certified in hospice and palliative medicine. I’m also certified in addiction medicine. I have a patient who was on buprenorphine for over two years and was doing well in recovery. They hurt their back, and their pain medication needed to be increased. Because of their history and risk of overdose, I transitioned them to my chronic pain clinic and started them on methadone. Their insurance has refused to prior authorize their methadone, which is working well and only a small fraction of the buprenorphine cost. I think this is a waste of resources and unfair treatment of my patient, who has been paying out of pocket for their methadone for months.”
Visit
www.ismanet.org/PatientsOverPriorAuth to share your story and read several others.
Please consider sharing this article with 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.
Patients Over Prior Auth - FAQs >>