Autoimmune diseases treated by #GIphysicians require uninterrupted therapy. Repeat #priorauth adds to physician practice burden & impedes access to crucial medications. #HR9192introduced by @RepJulieJohnson & @RepMikeLawler takes aim at disruptive #priorauth practices.

We applaud @AmerMedicalAssn recent actions res 109 calls for support for insurance coverage of neuromodulation for pain in the peds population Res 713 call for ending restrictive #priorauth for SCS/PNS Let's make sure how patients have access to care @AANSNeuro @CNS_Update

Dr. @wqfoster welcomed Alabama State Senator @Sam_Givhan to the Huntsville Cardiovascular Clinic. During the visit, they toured the facility and discussed #PriorAuth reform. Learn more about #ACCAdvocacy's Legislator Practice Visit Program ➡️ bit.ly/48zZpxc

Your team is spending 14 hours every single week chasing prior auth approvals. That’s not just paperwork—that’s revenue sitting on the table. ⏳💼 #PriorAuth #RevenueCycle #DenialManagement #HealthcareBilling #MedCurers #MedicalBilling #PracticeManagement #HealthcareROI

.@OhioACC members made their voices heard for their patients and community, advocating for #AEDAccess, #PriorAuth reform and banning #Noncompetes. @ChristinaFinkMD @EllenSabik @DrHebaMD @DrAnneAlbers #ACCAdvocacy

Up to $35B lost yearly to prior auth inefficiency. Automation cuts denials by 65% and often pays back in 6–12 months. Pricing varies from SaaS to custom builds, but ROI comes from faster approvals, fewer denials — cleverdevsoftware.com/blog/a… #PriorAuth #HealthTech

ASNC President Dr. @JBourqueMD discusses nuclear cardiology as a key tool for early heart disease detection, improved patient outcomes, and reduced cardiovascular events, while noting the complexity of radiopharmaceutical production and the need for broader access. #advocacy #PatientFirst #PriorAuth

A 47-year-old woman asked for an MRI. By the time her insurance company let her have one, the cancer in her hip was too far gone to save her leg. Her doctor had done the X-ray. Examined her. Sent her for physical therapy, the six weeks the insurer's own published criteria said she needed to complete before an MRI was on the table. No improvement. He told her she needed the scan. The insurance company said it was not medically necessary, until she finished six weeks of physical therapy. She had finished it. They had paid for it. He appealed. 38 days later, they reversed. The MRI showed sarcoma. The hospital told her that one month earlier, they could have treated it with chemotherapy alone. Instead, they amputated her leg, her hip, and her pelvis. She died two years later. Her family sued. The federal judge called it tragic, then threw the case out. Why? Because no law in New York holds an insurance company accountable when it gives bad medical advice. Doctors are accountable. Nurses are accountable. Hospitals are accountable. Insurance companies are not. That is the contrarian thesis worth holding onto. Prior authorization is not a billing decision. It is a medical decision being made by someone who, by law, is supposed to be a specialist in the relevant field, and who, by the federal HHS inspector general's own findings, often is not. When an insurer overrides a treating physician based on criteria the insurer itself does not follow, that is medical advice. When that advice causes harm, the law treats the insurer as untouchable. Every other party to the patient's care is held to a standard. The decision-maker with the most leverage is held to none. The framework worth saving: 1. By law, the reviewer denying a prior authorization is supposed to be a doctor in the relevant specialty. 2. The federal HHS inspector general has confirmed that often, they are not. 3. The published criteria insurers cite to defend denials are not always the criteria they actually follow. 4. Most insurance plans fall under ERISA, a federal statute that makes negligence cases against insurers nearly impossible. This case is in state court because the plan is for public employees, outside ERISA. 5. The AMA, the New York State medical society, and the Vermont and Connecticut medical societies have all filed amicus briefs supporting the family. Attorney Steve Cohen argued the case before the Second Circuit. Doctors who fight these denials should know what is at stake and who fought alongside them. Listen to the full conversation on The Podcast by KevinMD. Link in the replies. What is the longest a prior authorization denial has ever delayed care for one of your patients? #PriorAuth #ThePodcastbyKevinMD

At @KLASresearch K2 Summit next week (May 5-7, 2026 in SLC). Talk PA automation, TEFCA, 93% approval rates. Attending the summit? Meet with our VP or RCM Insights and CPO: na2.hubs.ly/H05c9MG0 #KLASK2Summit #PriorAuth

More than 100 ASTRO members from 35 states gathered in Washington, DC, April 27–28 for #ASTROAdvocacyDay, standing united to push for the #ROCR Act, call for long-overdue #priorauth reform, and champion strong federal investment in cancer research. The work doesn’t stop here. Keep the momentum going - make your voice heard and urge CMS Administrator Oz to take action. Become an advocate: ow.ly/s4Uj50YRYJy

Radiation oncology is facing a serious payment crisis, and today, nearly 100 #RadOncs are on Capitol Hill pushing for change. They’re advocating for Medicare payment reform, fixing a broken #priorauth system, and stronger federal investment in radiation research. Join them in advocating by using ASTRO's convenient grassroots tool. #ASTROAdvocacy Advocate for your field: ow.ly/jnca50YR5Y0

Beyond fulfilling day at #ASCOAdvocacySummit: very rewarding to advocate for patients in Penn, promote #priorauth & #telehealth congressional bills (HR 3514; HR4206). Every physician should be an advocate. Our patients need more than our clinical care: they need our voices.@ASCO

Grateful for the opportunity to meet with Senator @RandPaul at the #ASCOAdvocacySummit with Team Kentucky. We spoke about cancer research funding, reducing prior authorization burdens, and protecting Medicare telehealth flexibilities for patients across our state. asco.org/ACTNetwork #CancerCare #Oncology #CancerResearch #Telehealth #PriorAuth #Medicare #HealthPolicy #ASCOAdvocacy #Advocacy #Kentucky

The stars at night, are big & bright 👏👏👏 excited to represent the great state of Texas for #ASCOAdvocacy. We are here to speak about the need for cancer research funding, improvements to #priorAuth, & a permanent telehealth solution. @UTMDAnderson @utswcancer @TexasOncology

Training mandates were imposed with no evidence that they improved outcomes, and they are a significant burden on clinician time. Care not delivered because the clinician is tied up in bureaucracy is a health systems error. #PriorAuth #MOC

.@CaliforniaACC members are advocating for their patients in Sacramento! ☀️ They're urging lawmakers to streamline #PriorAuth for medications, prohibit automatic downcoding & improve access to cardiovascular care. #ACCAdvocacy @JanetWeiMD @NikhilBassi

I got onboarded for a priorauth job once and the first day of training when they told us that we are the people who deny people's insurance claims I just logged in everyday without doing anything and took my check until they stopped sending checks.

We wrote to the MD House of Delegates in support of @MartinezforMD bill (HB1114) to ensure Marylanders w/private health #insurance can access all #PrEP drugs to prevent #HIV w/o cost-sharing or #priorauth, including new long-acting ones: bit.ly/41g7NyG

Proud to join @CaliforniaACC in Sacramento today to advocate for our patients and colleagues regarding #priorauth, unfair #downcoding practices for complex cardiac conditions, outdated cardiac surgery regulations, and CPR/AED education in high schools. @Cardiology @ACCinTouch