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Less than 24 hours to respond or they deny. How is this ok? And the fax didn’t even come through for another hour after that. #endpriorauth! One more way they put profits over patients.
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Of all sleep diagnoses, those living with #narcolepsy and #idiopathichypersomnia deal with the most discrimination. As if their diseases didn't make life hard enough, insurances pile on with this type of immoral harassment. #endpriorauth now!
Well @AnthemBCBS has denied a patient’s access to Xywav, a drug she has been on for 7 years because we are “not documenting with a standardized scale” her sleepiness. I have seen her 20 times and documented her ESS 19 times. Why are you doing this to your subscribers? #narcolepsy
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💸 Did you know many doctors don’t even get paid for the care they provide? Healthcare’s broken payment systems force physicians into hours of paperwork—only to face delays, reductions, or clawbacks from insurers. That’s not just inefficient—it’s unacceptable. We’re changing that. That's why @evercred is building a direct, transparent payment engine so doctors get paid instantly and fairly—no middlemen, no hidden fees, no delays. Because when physicians are free to focus on care, everyone wins. 👊🩺 Join us for physician freedom ➡️ @evercred. #EndPriorAuth #PriorAuth #PhysicianBurnout #FixHealthcare #HealthTech #DirectPrimaryCare
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Ironic to be calling the "National Medical Excellence Unit" at @Aetna because they are most excellently denying my husband's CellCept and tacrolimus (rejection meds) for his transplanted liver. We've been calling for days ... crickets. They run out tomorrow. #EndPriorAuth
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Prior Auth Grievance Log: BCBS @fepblue 2 hrs my time hrs other teammates wasted MOST IMPORTANTLY 4 weeks treatment delay for prior auth of Panitumumab FOLFIRI in stg4 RAS/RAF Wild type L-sided colon cancer pt. This is the definition of on-label treatment. #EndPriorAuth

ALT Game Of Thrones Shame GIF

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It's amazing how many insurance companies are no longer on X because they got sick of being tagged by people pointing out how evil and greedy they are. #endpriorauth #patientsoverprofits #insurancenightmares.
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Aetna now regularly denies my patients w/ narcolepsy access to one class of drugs if they're already on another class of drugs. Sometimes it takes more than one drug to control symptoms! Xywav Sunosi is a perfectly normal combo! #endpriorauth #narcolepsy @project_sleep
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There is functionally no difference between denying coverage for a drug and approving it but leaving the patient with a copay so large it's unaffordable. Patients with narcolepsy continue to suffer unbearable discrimination at the hands of insurance companies. #endpriorauth
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@AnthemBlueCross seem to have difficult accepting that a LOWER cost therapy (Radiation) is the best treatment option for early stage inoperable lung cancer. Perhaps they would prefer the patient to progress — and spend more 💰 on immunotherapy ! 😂 🤷‍♀️ #endpriorauth
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“…a 14 y/o f Tylenol overdose arrived. Thankfully in time. Thankfully, appropriate and supportive parents. She lost access to her fluoxetine due to an (appropriate) dose adjustment - that then was denied by prior auth via insurance and pharmacy. 💊Fluoxetine. It's $8.20 on CostPlus pharmacy for a 90-day supply. A girl attempted suicide (Tylenol levels just bordering on toxic levels by nomogram at 4 hours) - when she had been previously improving on her medications. Because of a corrupt insurance and PBM system violating the corporate practice of medicine doctrine for profit.…” ~ emergency physician colleague #PriorAuth #EndPriorAuth #EndPBMs #EndPBM
Replying to @amyfaithho
So why does #priorauth exist?! To “contain costs” by insurers… Doesn’t sound terribly cost effective, does it? 😑 $58 million in labor cost alone of initial submission, not including the labor cost of denials/appeals and not including the cost of ED/hospital stays that results from delays/denials… Sounds like it’s time to get rid of #priorauth, no?
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Thank you for sharing, Dr. Weber. Insurance delays (like prior authorization) denials, & non-medical switching only hurt patients. #migraine #MigraineRelief #EndPriorAuth #StopInsuranceDelays #MigraineWontWait
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Can we all agree that generic drugs should never require prior authorization? #simplesolutions #patientsoverprofits #endpriorauth #fixpriorauth @AANmember
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16 Feb 2024
Insurance company denies a needed PET scan on a patient with brand new diagnosis of pancreas cancer with equivocal CTs and MRIs. Guy pays premiums forever, now he’s got the most serious diagnosis he can get, and they deny his care to “save” 2k. #endpriorauth
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Prior Authorization is dictating medical malpractice here. #breastcancer #endpriorauth
5 Jan 2024
Everyday the insurance companies get worse, not better. This is dose dense AC for curable breast cancer, NOT giving immune support (pegfilgastrim) is actual malpractice, and violates every guideline in the business #breastcancer #endpriorauth
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5 Jan 2024
Everyday the insurance companies get worse, not better. This is dose dense AC for curable breast cancer, NOT giving immune support (pegfilgastrim) is actual malpractice, and violates every guideline in the business #breastcancer #endpriorauth
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Follow the money. Think how much cheaper healthcare would be without this chicanery! 😵‍💫 Unfortunately, I have no faith in our govt to fix something that the insurance lobby’s dollars in lawmakers pockets helped create. #EndPriorAuth #ValueHumanLives
One of my patients (who labels himself a #PriorAuthSurvivor) diagrammed the unnecessary complexity of trying to get his medication approved on time 👇 Rinse & repeat and this is a cyclic nightmare that has nothing to do with chemo but rather the bureaucracy of US healthcare
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Surging enrollments in @AHIPCoverage's Member Medicare Advantage plans due to “Cheaper Premiums” contrast starkly with increasing care denials & delays. Over 30 million #seniors & @aarp members face #priorauth hurdles, often leading to 94% of necessary treatments being delayed & many patients abandoning care. #healthplan tactics, while claiming to curb costs, are causing harm: 33% of physicians report serious adverse events due to PriorAuth including hospitalization & life-threatening situations. There is Bipartisan anger, but immediate action is needed to protect our families including parents, & grandparents from these #healthinsurance driven predatory practices. #FIXPRIORAUTH #ENDPRIORAUTH for timely, deserved healthcare access." politico.com/news/2023/11/24… #medtwitter @ASALifeline @ASAGrassroots @texmed @AmerMedicalAssn @A4Horg @Free2CareHC @RogerMarshallMD @TSAPhysicians

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This should not be happening, @cvspharmacy! Nonsensical refill denials like this add to patient stress and waste valuable oncologist time! #lcsm #lcam #endpriorauth
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Listen to Dr. Karl Hanson @InfinityHealth8 discuss the futility and corporate practice of medicine that hides itself under the guise of of prior authorization. Watch what he has to go through. This is the exact uncompensated administrative burden that we all need to fight. We need to start billing for every min we spend on this nonsense. Why is there no ICD10code to bill for this time? IMO I suspect that the publishers of the CPT Coding handbook are likely colluding with the insurance companies. youtu.be/JW4LPaKlD7Y?feature… #EndPriorAuth

MRI prior authorization
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