Discover and read the best of Twitter Threads about #PriorAuthorization
Most recents (4)
𧔠âŠ@AmerMedicalAssnâ© Prez âŠ@GeraldHarmonMDâ© stated:
An investigation by âŠ@OIGatHHSâ© âinto the inappropriate use of #PriorAuthorization by Medicare Advantage plans uncovered information that mirrors physician experiences.â
Read report: oig.hhs.gov/oei/reports/OEâŠ
An investigation by âŠ@OIGatHHSâ© âinto the inappropriate use of #PriorAuthorization by Medicare Advantage plans uncovered information that mirrors physician experiences.â
Read report: oig.hhs.gov/oei/reports/OEâŠ
2/ âSurveys of physicians have consistently found that excessive authorization controls required by health insurers are persistently responsible for serious harm when necessary medical care is delayed, denied, or disrupted.â #FixPriorAuth
See 2021 survey: ama-assn.org/system/files/pâŠ
See 2021 survey: ama-assn.org/system/files/pâŠ
3/ âThe American Medical Association agrees with the federal investigatorsâ recommendations for preventing inappropriate use of authorization controls to delay, deny and disrupt patient care, but more needs to be done to reform prior authorization.â
1/ âŠ@AmerMedicalAssnâ© press release on the urgency to #fixpriorauth:
At the height of the #COVID19 #pandemic, physicians reported being bedeviled by unnecessary, bureaucratic obstacles that the health insurance industry pledged to reduce three years ago.
At the height of the #COVID19 #pandemic, physicians reported being bedeviled by unnecessary, bureaucratic obstacles that the health insurance industry pledged to reduce three years ago.
2/ The data highlights the urgent need for new bipartisan legislation introduced in the House, the Improving Seniorsâ Timely Access to Care Act. [TY @RepDelBene @MikeKellyPA @RepBera @RepLarryBucshon for introducing this vital measure.]
[See data here: ama-assn.org/system/files/2âŠ]
[See data here: ama-assn.org/system/files/2âŠ]
3/#OurAMA-conducted survey shows physicians are running into roadblocks because of #priorauthorization, the process of requiring health care professionals to obtain advance approval from health plans before a prescription medication or medical service is delivered to the patient.
@MParshleyMD @adamIMdoc @InduPartha @primarycarechat @ACPinternists Urgent need to provide MORE time for ambulatory visits. Us ambulatory specialists have all felt the time crunch of seeing complex patient w/ 5-10 issues (or more) in 15-20 minutes. NOT good #PatientCare. NOT #PatientSafety. Thread 𧔠1 @ACPinternists #IMProud
@MParshleyMD @adamIMdoc @InduPartha @primarycarechat @ACPinternists We need major payment reform so reimbursements & physician âproductivityâ is NOT volume-centered based on number of visit encounters. THAT drives ambulatory schedules to have visits that are far too short to maximize numbers of visits. Thread 𧔠2 @ACPinternists #IMProud
@MParshleyMD @adamIMdoc @InduPartha @primarycarechat @ACPinternists Focus on value of care, NOT number of visits. Have flexibility of visit lengths based on appropriateness for care complexity. Get rid of âone size fits allâ 15-20 minute visits. Simple 1 issue visit ok for that. Complex multi-problems-NOT ok w/ that. Threads 𧔠3 @ACPinternists
1/ âŠ@AmerMedicalAssnâ© submitted comments to âŠ@CMSGovâ© regarding a NPRM on provider burden reduction and #priorauthorization: tinyurl.com/y5ebobkf
The NPRM cited #OurAMA prior authorization survey data and grassroots website FixPriorAuth.org
The NPRM cited #OurAMA prior authorization survey data and grassroots website FixPriorAuth.org
2/ The rule proposes policies to help make the prior authorization process more efficient and transparent.
The NPRM would require #Medicaid, CHIP, and federally facilitated health exchange plans to:
âąSupport technology that would convey #priorauthorization requirements
The NPRM would require #Medicaid, CHIP, and federally facilitated health exchange plans to:
âąSupport technology that would convey #priorauthorization requirements
3/ The NPRM would also require impacted payers to:
âąAutomate the exchange of supporting clinical data from physiciansâ #EHR workflow
âąPublicly report data on #priorauthorization programs and comply with processing timeframes
âąAutomate the exchange of supporting clinical data from physiciansâ #EHR workflow
âąPublicly report data on #priorauthorization programs and comply with processing timeframes
