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.
Andrew Skinner, MD, shared, “We had a patient who had attempted to hang themselves. Fortunately, they were found and rescued. Three days later, while in inpatient care, further days of inpatient care were denied. (It was) denied because the patient was not saying they were still suicidal. The patient still had visible ligature wounds on their neck, and they were returning home to a chaotic and possibly abusive relationship, and (we) were unable to offer any reassurance or plan of safety. Everybody in this field knows that a patient's statement of suicidality is not a valid measure of risk. We can easily get inpatient days covered for malingering patients who want to stay in the hospital and keep saying they are suicidal. The truly risky patients are the ones who are denying intent but all the risk factors are there. The biggest risk factor we know of is a recent attempt!”
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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