Details

Autor(en) / Beteiligte

• Shryock, Todd

Titel

BEATING THE BURDENS

Ist Teil von

• Medical Economics, 2024-02, Vol.101 (2), p.8-12

Ort / Verlag

Monmouth Junction: MultiMedia Healthcare Inc

Erscheinungsjahr

2024

Quelle

EZB Electronic Journals Library

Beschreibungen/Notizen

• [...]practices don't have enough staff but still have to collect and file paperwork for payers and government agencies using subpar EHR systems. Solving the prior authorization problem According to the 2023 Medical Group Management Association (MGMA) Regulatory Burden Report, 89% of respondents rated prior authorization requirements as "very or extremely burdensome," and 97% of practices reported that their patients have experienced delays or denials to medically necessary care due to prior authorization requirements. "In general, usually three denials occur per prior authorization request in hopes that the pursuit of the PA will be dropped," says Hubka. [...]the patient does not receive the medication, procedure or consult that was medically determined appropriate by the physician. [...]after numerous delays or denials, 95% of the time, these medical decisions are approved."