#priorauth
"I'm in too much pain to the point that I can't tolerate it anymore."

"Please please please I beg"

Our research on #priorAuthorization shows there's a large component of human suffering due to #priorAuth denials.

Nobody should suffer or die due to prior authorization. No one.
December 6, 2024 at 1:23 AM
These numbers are absolutely horrifying. These numbers also represent ppl who are suffering & dying, who shld be receiving compassionate & immediate care, not milked 4 all they're worth, then tormented or ignored in their time of need. #PriorAuth is the devil. #cansky #oncosky #cancerBS #insuranceBS
30% of surveyed radiation oncologists said #priorauthorization has caused emergency room visits, hospitalization or permanent disability for their patients.

7% said it led or contributed to a patient’s death.

This data is clear.
We need to #fixPriorAuth

www.astro.org/news-and-pub...
December 6, 2024 at 3:56 PM
Excellent graphic medicine piece on #PriorAuth. #cansky #oncosky #medsky

* The AMA found docs & staff spnt 12hrs/wk on #PriorAuth
* ~70% of pts w/#cancer reported delays, many >2 wks 4 #PriorAuth
* 90%+ of rad oncs said they had 2 delay lifesavng tx cuz #PriorAuth.

www.usatoday.com/story/opinio...
For patients and doctors, insurance prior authorization can be a dangerous game | Opinion
Doctors trying to get patients necessary drugs and procedures stymied by health insurance prior authorization. It's not a game. It's life and death.
www.usatoday.com
December 14, 2024 at 7:01 PM
Struggling with #priorauth in #NewMexico? Discover how to fix delays, reduce denials, and boost collections with expert, affordable PA solutions. sunknowledge.com/accelerating...
Accelerating Performance with Quality Prior Authorization Services in New Mexico
Struggling with prior auth in New Mexico? Discover how to fix delays, reduce denials, and boost collections with expert, affordable PA solutions.
sunknowledge.com
April 23, 2025 at 6:07 PM
Great piece about #priorauth & the role of health insurance companies. This quote from UnitedHealth CEO is so telling "we make sure that care is safe, appropriate, & delivered when people need it." WRONG!! My doctor decides what's appropriate. This must change! www.medpagetoday.com/opinion/pres...
Opinion | Insurers Are Dictating Care and We're Sick, Sick, Sick of It!
Now is a moment ripe for change
www.medpagetoday.com
December 15, 2024 at 5:14 PM
staffingly.com/patient-jour...

Patient Journey Through Eligibility Checks and Prior Authorization: Wegovy and Zepound

#PriorAuth #Wegovy #Zepbound #GLP1Support #InsuranceVerification #ZappyHealth #VirtualCare #WeightLossMedications
June 30, 2025 at 2:27 PM
#PriorAuth requests are routinely denied with little to no explanation. “Health-insurer denials must not be a mystery to patients and physicians." #FixPriorAuth #AMAmtg

Keep fighting!
June 13, 2024 at 4:18 PM
🇺🇸 #ASCOAdvocacySummit with my @ascocancer.bsky.social Leadership Development Program friend Dr Shilpa Gupta. We spoke to our elected officials about issues that directly impact patients: research funding, #priorAuth, & drug shortages.

Join today w/ the ACT Network:
asco.quorum.us/action_center/
April 8, 2025 at 10:16 PM
Struggling with #priorauth delays and denials? Discover how outsourcing can cut costs, boost collections, and improve care with expert support. sunknowledge.com/simplifying-...
Simplifying Prior Authorization Metrics for Cleaner Post End Activities
Speak to our team and come to understand what makes us a robust destination for all to outsource prior authorization services.
sunknowledge.com
May 13, 2025 at 6:42 PM
BS Reasons CVS Caremark has given for DENYING medication I have taken for 1 year:

used wrong form
Have to try __
No evidence
not medically necessary
not in formulary
medication is “experimental”

All Falsehoods.

The writer of the Rx should be only required approval.

#priorauth #cvs #caremark
January 3, 2025 at 1:06 AM
Pharmacy: "Called to clarify & they said #priorauth was rejected because you answered "no" even though you did also explain why the preferred med was not a possibility in the following question. Here is the information for how to call for expedited appeal."
😡
November 25, 2024 at 12:15 AM
Building the admin apparatus to deal with #priorauth and #billingdenials is likewise a high fixed cost proposition that similarly favors consolidation.

Again, for insurers, the cost is minimal but hospital systems, physicians and patients pay an enormous price.
December 9, 2024 at 3:44 PM
Confused by #priorauth, reauth, or predetermination? Our experts simplify it all. Boost approvals & cut delays. Learn more now! Learn more at sunknowledge.com/key-differen...
Understanding the Key Differences among Prior Authorization, Reauthorization, Predetermination, and Retroactive Authorization
Confused by prior authorization, reauth, or predetermination? Our experts simplify it all. Boost approvals and cut delays. Learn more now!
sunknowledge.com
June 25, 2025 at 7:31 PM
#RhodeIsland’s own Anthony Mega engaging with the #ASCOAdvocacySummit team around ways oncology clinicians can advocate for prior authorization reform thru Improving Seniors Timely Access to Care Act. #PriorAuth
@ascocancer.bsky.social @weldeiry.bsky.social
April 7, 2025 at 3:40 PM
⏩ Enter the “gold card” concept–a potential game-changer aimed at streamlining #PriorAuth by exempting physicians with strong approval histories from routine reviews.

Could this be the #innovation we’ve all been waiting for?

@craigmjoseph.bsky.social

www.nordicglobal.com/blog/is-the-... #MedSky
Is the gold card the golden ticket to fixing prior authorization?
Can gold cards streamline prior authorization in healthcare? Discover the potential benefits and limitations of this promising solution for physicians and patients.
www.nordicglobal.com
December 14, 2024 at 12:53 PM
ICYMI: an essential piece on #priorauth

bsky.app/profile/rasu... #MedSky
🧑🏻‍⚕️ “Increasingly doctors attempting to get their patients necessary medications, devices & procedures find their efforts stymied by a labyrinth of “prior authorization” hurdles created by insurance companies.”

An ESSENTIAL read:

www.usatoday.com/story/opinio... #MedSky
December 14, 2024 at 12:48 PM
The timing of this story is heated, with health insurance industry in the news, but I was honored to collaborate with @fumikochino.bsky.social and grateful to my patient and his family for the chance to draw/write about the pain of #priorauth for @usatoday.com .

www.usatoday.com/story/opinio...
For patients and doctors, insurance prior authorization can be a dangerous game | Opinion
Doctors trying to get patients necessary drugs and procedures stymied by health insurance prior authorization. It's not a game. It's life and death.
www.usatoday.com
December 8, 2024 at 12:45 PM
Sometimes it's shoots. Sometimes it's ladders.

Why does #PriorAuth make us play games in order to get medications for our patients?

www.usatoday.com/story/opinio...
December 11, 2024 at 1:28 PM
Magic 8 ball, can I have the scan my doctor says I need?

UnitedHealthcare: Don't count on it.
--
Priorauth and UR is already hot garbage. Let's make more money by making it worse! Who actually needs healthcare anyway??
May 28, 2025 at 2:53 PM
"It is a nightmare waking up every day wondering if some people halfway across the country will approve what my doctors have said is my only chance."

📄 New #PriorAuth in cancer report shows the scope of the problem & the need to #fixpriorAuth @cancercare.bsky.social

www.cancercare.org/redtape
June 18, 2025 at 5:48 PM
#OBBBA also undermines bipartisan state progress to increase affordability and accessibility of care thru diabetes coverage requirements, limits on cost sharing, and #priorauth reforms, as attention/funding turn to responding to the mess #OBBBA will cause the individaul market.
June 30, 2025 at 9:19 PM
October 7, 2025 at 5:04 PM
#PriorAuth promising for promoting evidence-based Rx - but can we make it easier for physicians and patients both? http://nyti.ms/1okUalb
nytimes.com
nyti.ms
January 25, 2025 at 4:43 AM
Moral injury & administrative burdens including #priorauth are driving physicians to leave patient care leading to shortages. Physicians in outpatient offices spend more than two-thirds of their time on admin tasks and less that a third with patients.
apple.news/AMOotEE0OTya...
Where Have All the Doctors Gone? America’s Emerging Health Care Crisis — AARP Bulletin
Physicans quitting medicine: it’s a crisis that’s shaking our health care system. here’s how you can protect yourself
apple.news
January 9, 2025 at 12:10 PM