#priorauthorization search results
While originally intended to control costs, #priorauthorization (PA) systems frequently delay care, create administrative burdens, and act as a gatekeeper that disproportionately affects those with #rarediseases. Read more at rare360.life/post/insurance…
“Cancer pts & their families are being pulled into the #priorauthorization process, at the expense of their time, health, & well-being” #Priorauth isn’t just an administrative hurdle for clinicians; it’s a hidden 2nd job for patients. #ascoQLTY25 ascopost.com/news/october-2…
#PBMs view patients as profit generators, not people who need care. An oncology practice received #PriorAuthorization requests from a PBM for expired prescriptions, including patients who had stopped these drugs months earlier and even those who had died. bit.ly/4o2trQI
#Priorauthorization #UtilizationManagement for costly 2nd-line 💊 is understandable but nearly one-half of plans have quantity limits for generic ondansetron, a cheap ($16 for 60 8mg tabs) & effective 1st-line drug Make this make sense. #fixPriorAuth jamanetwork.com/journals/jaman…
The recent voluntary #pledge made by #payers to voluntarily reform #PriorAuthorization has been met with understandable skepticism from #providers. However, a closer look reveals mechanisms already in place that could help make these promises a reality: healthleadersmedia.com/infographic-ma…
🌠Great to see @medicarepayment discuss concerns about: ❗️#priorauthorization’s negative impact on patients, physicians, & payment accuracy ❗️#consolidation across #healthcare sectors. AMA shares its extensive resources on these issues. 👉Read: tinyurl.com/43vmyuer
To be fair, when an insurance company handles a denial in a smart way, then everyone’s stress level goes down, and the patient gets the proper treatment right away for free. This is how it should be done: if Eliquis is too expensive, tell the doc the options #priorauthorization
Dr @jaydengracie on #priorAuthorization for #radonc #radiation cancer treatment. @ASTRO_org @ASCO #ASCOQLTY25 #priorAuth burden is rising over time, & this burden is felt WORSE in community practices. It wastes provider time, but more importantly it KILLS patients. #deathbyDelay
51% of insured adults report difficulty with #priorauthorization. Under #ERISA, most #selffundedplans can bypass state rules, giving employers flexibility to create faster, simpler approvals. The Alliance can help you build a better plan. Learn more 👇 ow.ly/cwNz50WGH24
"Over the past several years, I’ve been denied care many times, including a scan requested by a doctor that likely would have caught my cancer at an earlier stage before it spread." #priorAuthorization has harmed millions in the US. Violence is not the answer. Policy reform is.
"It is a nightmare waking up every day wondering if some people halfway across the country will approve what my doctors have said is my only chance." 📄 New #PriorAuthorization in cancer report shows the scope of the problem & the need to #fixpriorAuth cancercare.org/redtape
The CMS mandate requires #priorauthorization to be #digital and fast by 2026. Is your team ready? Reduce #processingtime by 40%, with fewer delays, better #data, and smoother provider coordination. See how you can make the shift now: splr.io/6013t8LL3
#Priorauthorization for physical therapy delays necessary care and undermines clinical judgment, leaving patients in pain. Early and frequent physical therapy matters. Learn more: tinyurl.com/7y3cyv6m
"This survey adds to the growing body of evidence that #priorauth reform is VITAL to protect patients and preserve the quality of care in the USA. We need to make #priorauthorization more transparent & streamline the process to make it more fair ...& hold companies accountable”
Having a #priorauthorization #headache - we need an ICD10 code for this. #physicianwellness #FixPriorAuthorization
🧵@NCOILorg considers model #priorauthorization legislation & discusses use of #AI in the claims process From AMA: NCOIL, a leading org comprised of legislators serving on state insurance & financial institutions committees, met in Chicago for its annual summer meeting.
If you believe a health insurance company is violating the #PriorAuthorization Reform Act or any other law or regulation, please submit a complaint isms.org/resources/issu…
🚀 Webinar: Beat the CMS 2026 Deadline! Transform Prior Authorization with AI. 📅 Dec 2 | 2 p.m. ET Join @Hyland & register: bit.ly/48iYhzc?utm_so… #HealthcareInnovation #PriorAuthorization #CMSCompliance #AIinHealthcare #PayerTech #Webinar
"This is not just about me...but all the moms with #breastcancer you have denied who have died because of your business model." 🚨 @NBCNews coverage highlighting our broken #priorAuthorization system, which harms all --but is especially cruel to people with cancer. #fixpriorauth
Practolytics streamlines prior authorization processes with smart workflows. Asking the right questions before submission saves time, reduces denials, and accelerates revenue for your practice. #priorauthorization #insuranceworkflow #practolytics #revenuecycle #medicalbilling
AI is transforming prior authorizations! Yale New Haven Health System cut PA turnaround times dramatically, speeding access to medications and boosting revenue💊⚡ specialtypharmacycontinuum.com/a/ajMBAA/t #HealthTech #Pharmacy #PriorAuthorization #PatientCare
This Black Friday, cut through payer friction and command Prior Authorization with specialist-level precision. Use code NBFPACS25 for 15% off Enroll: hubs.ly/Q03VhYG_0 #PACS #PriorAuthorization #MarketAccess #HealthcareEfficiency #PayerStrategy #BlackFriday #ACMA
𝐄𝐯𝐢𝐝𝐞𝐧𝐜𝐞 + 𝐖𝐨𝐫𝐤𝐟𝐥𝐨𝐰 Our module helps clinicians apply NCCN and ASCO criteria + integrate prior auth checklists to streamline approvals + reduce care delays Supported by Pfizer and Genmab ow.ly/uJLq50XpKlB #CervicalCancer #PriorAuthorization #Pfizer #Genmab
via @DrugChannels - The Hidden Burdens of Cancer Care: When Insurers Override Doctors drugchannels.net/2025/11/the-hi… #Cancer #CancerCare #PriorAuthorization #StepTherapy #FailFirst
Hats Off to Our Latest PACS® Professional, Dawn Bina, MHA! You’ve taken a major step in mastering the complexities of patient access in today’s healthcare ecosystem. #PACS #PriorAuthorization #HealthcareAccess #PharmaCareers #ReimbursementSpecialist #ACMA
We can't wait to tell you about our new partner, ████████ but you'll have to wait for Calvient Horizon! Let's just say no more hunting for medical policies. 👀 Register below to be there when we reveal this new partner. buff.ly/km2yLCp #priorauthorization
If you want to streamline your billing process, it can be a good option to outsource #PriorAuthorization services. bit.ly/43z0rrS #MedicalCoding #MedicalBilling #RCM #PriorAuthorizationCompany
#PBMs face rising drug costs & complex regulations. See how domain-specific #AI streamlines tasks like #priorauthorization, benefit verification, & #medicationadherence—cutting processing times, boosting #automation, & freeing staff for higher-value care. hubs.la/Q03V1hcW0
🚀 Webinar: Beat the CMS 2026 Deadline! Transform Prior Authorization with AI. 📅 Dec 2 | 2 p.m. ET Join @Hyland & register: bit.ly/48iYhzc?utm_so… #HealthcareInnovation #PriorAuthorization #CMSCompliance #AIinHealthcare #PayerTech #Webinar
The CMS mandate requires #priorauthorization to be #digital and fast by 2026. Is your team ready? Reduce #processingtime by 40%, with fewer delays, better #data, and smoother provider coordination. See how you can make the shift now: splr.io/6013t8LL3
🚀 Webinar: Beat the CMS 2026 Deadline! Transform Prior Authorization with AI. 📅 Dec 2 | 2 p.m. ET Join @Hyland & register: bit.ly/48iYhzc #HealthcareInnovation #PriorAuthorization #CMSCompliance #AIinHealthcare #PayerTech #Webinar
Precision wins in Prior Authorization. Congratulations to our newly certified Prior Authorization Certified Specialist (PACS®) professional, Angela Corley, PACS. #PACS #MarketAccess #PriorAuthorization #HealthcareInnovation #PharmaExcellence #CareerGrowth
The reality is that the #PriorAuthorization process for specialty drugs is not the easy one, as specialty drugs are different than regular drugs. bit.ly/3XExVkV #MedicalCoding #MedicalBilling #RCM #PriorAuthorizationCompany
Congratulations to our newly certified Prior Authorization Certified Specialist (PACS®) professional, Cheryl Parker, leading the way in payer strategy, faster approvals, and smarter access management. #PACS #MarketAccess #PriorAuthorization #CareerGrowth #CertificationSuccess
Meet 6 vendors Cohere Health, Genzeon Corp, Humata Health, Innovaccer, Virtix Health & Zyter participating in the Wasteful and Inappropriate Service Reduction (WISeR) Model leveraging AI to streamline #Medicare #priorauthorization process in 6 states buff.ly/YLtfhMX
👉55% improvement in prior authorization approvals after denial appeals, that’s what PACS-certified professionals reported after completing the PACS® program. Explore more here hubs.ly/Q03T5DlW0 #PriorAuthorization #PACS #HealthcareAccess #ValueBasedCare #ACMA
#PBMs view patients as profit generators, not people who need care. An oncology practice received #PriorAuthorization requests from a PBM for expired prescriptions, including patients who had stopped these drugs months earlier and even those who had died. bit.ly/4o2trQI
PACS® graduates don’t just understand Prior Authorization; they transform it. Congratulations to our newly certified PACS® professional, Christine Delp, MS, PACS. #PACS #PriorAuthorization #PharmaAccess #CareerExcellence #CertificationSuccess
Access Unlocked! Cheers to our newest Prior Authorization Certified Specialist (PACS®),Jen Bardon! This is more than credential, it’s a career acceleration. #PACS #PriorAuthorization #HealthcareAccess #ReimbursementExcellence #ACMA #PatientImpact #CareerGrowth
While originally intended to control costs, #priorauthorization (PA) systems frequently delay care, create administrative burdens, and act as a gatekeeper that disproportionately affects those with #rarediseases. Read more at rare360.life/post/insurance…
🧵Bipartisan bicameral majorities of Congress (House: 155 D, 86 R; Senate: 27 D, 26 R, 1 I) cosponsor the Improving Seniors’ Timely Access to Care Act to reform Medicare Advantage #PriorAuthorization requirements. Emphasizes need to pass the bill in upcoming “lame duck” session.
“Cancer pts & their families are being pulled into the #priorauthorization process, at the expense of their time, health, & well-being” #Priorauth isn’t just an administrative hurdle for clinicians; it’s a hidden 2nd job for patients. #ascoQLTY25 ascopost.com/news/october-2…
#Priorauthorization #UtilizationManagement for costly 2nd-line 💊 is understandable but nearly one-half of plans have quantity limits for generic ondansetron, a cheap ($16 for 60 8mg tabs) & effective 1st-line drug Make this make sense. #fixPriorAuth jamanetwork.com/journals/jaman…
To be fair, when an insurance company handles a denial in a smart way, then everyone’s stress level goes down, and the patient gets the proper treatment right away for free. This is how it should be done: if Eliquis is too expensive, tell the doc the options #priorauthorization
The Retirees took our fight to Washington DC and met with congressional leaders to discuss horrible Medicare Advantage plans! Delays & denials of care #PriorAuthorization @RepKatiePorter @SenWarren @chuckschumer @rosadelauro @RepJeffries @RepJayapal @maziehirono @RepLloydDoggett
🌠Great to see @medicarepayment discuss concerns about: ❗️#priorauthorization’s negative impact on patients, physicians, & payment accuracy ❗️#consolidation across #healthcare sectors. AMA shares its extensive resources on these issues. 👉Read: tinyurl.com/43vmyuer
"I'm in too much pain to the point that I can't tolerate it anymore." "Please please please I beg" Our research on #priorAuthorization shows there's a large component of human suffering due to #priorAuth denials. Nobody should suffer or die due to prior authorization. No one.
Dr @jaydengracie on #priorAuthorization for #radonc #radiation cancer treatment. @ASTRO_org @ASCO #ASCOQLTY25 #priorAuth burden is rising over time, & this burden is felt WORSE in community practices. It wastes provider time, but more importantly it KILLS patients. #deathbyDelay
🧵@NCOILorg considers model #priorauthorization legislation & discusses use of #AI in the claims process From AMA: NCOIL, a leading org comprised of legislators serving on state insurance & financial institutions committees, met in Chicago for its annual summer meeting.
.@Neurosurgery joined @SpecialtyDocs in responding to the House Education and Workforce Committee’s Request for Information on ways to improve #PriorAuthorization for #ERISA plans. #FixPriorAuth Read now: bit.ly/3VylTKl
Having a #priorauthorization #headache - we need an ICD10 code for this. #physicianwellness #FixPriorAuthorization
Make no mistake, the $UNH @UHC CEO was assassinated. The stance and the suppressor give it away. Professional. #priorauthorization
"It is a nightmare waking up every day wondering if some people halfway across the country will approve what my doctors have said is my only chance." 📄 New #PriorAuthorization in cancer report shows the scope of the problem & the need to #fixpriorAuth cancercare.org/redtape
.@RMengerMD joins @NSGYpodcast to discuss the process of insurance approval and the often undue burden #priorauthorization creates on the #healthcare ecosystem. Listen now: apple.co/4c6gjE2 #FixPriorAuth
“Introduction of a new #priorauthorization policy on an established drug regimen is associated with increased probability of discontinued & delayed [oral anticancer] care…this may represent a clinically consequential barrier to access.“ tinyurl.com/y38zx4as #FixPriorAuth
30% of surveyed radiation oncologists said #priorauthorization has caused emergency room visits, hospitalization or permanent disability for their patients. 7% said it led or contributed to a patient’s death. This data is clear. We need to #fixPriorAuth astro.org/news-and-publi…
#PriorAuthorization reform is a top priority for ACG – and you can help! Tell your Senators and Representatives to support the #ImprovingSeniorsTimelyAccesstoCareAct, and improve prior authorization for Medicare Advantage beneficiaries. 📣 gi.org/public-policy/… #ACGAdvocacy
Great talk by @fumikochino on the impact of prior authorization on cancer patients’ lives. Truly heart breaking 💔 #ASCO24 #pain #priorauthorization #QoL
Standing up for patients and gastroenterologists on Capitol Hill! Advocating to reverse Medicare reimbursement cuts and bring transparency to prior authorization to prevent care delays. Change starts with action! #Advocacy #MedicareReform #PriorAuthorization @ASGEendoscopy
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