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. 

An ISMA physician wishing to remain anonymous shared, “I recently (2024) received a denial letter for a medication that my patient had been taking successfully since 2018 for a chronic condition. At every visit, I always document the involved body surface area, which is our main objective measure of the success of treatment. When I got the denial letter (which said I needed to document improvement thanks to the treatment), I was puzzled. But when I reviewed all notes since before starting the medication, it was clearly labeled in every note, and it showed significant and maintained improvement in the patient’s condition.”

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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