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 advocacy initiative by sending us the latest example(s) of payors inappropriately putting prior auth over patients. More than 110 stories have already been submitted to ISMA since the short intake form went live earlier this year.

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. 

John Fye, MD, shared, “Prior authorization was required to perform a screening colonoscopy at a local hospital. The insurance carrier preferred an outpatient surgical clinic. Insurance was informed there were no such facilities within a reasonable distance. A request to do the procedure at the hospital was approved. Later that week, prior authorization was required to do a screening colonoscopy at the local hospital. This happens weekly. If an outpatient surgical clinic doesn’t exist today, it is unlikely to exist in 72 hours. Must this waste of nursing staff time happen over and over?”

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.

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