Patients and doctors not the only ones hurt by prior authorizations

Apparently prior authorizations may not just be hurting physicians and denying physician-recommended treatment to their patients. A blog posted by the Redheaded Pharmacist (a retail pharmacist who is redheaded) pointed out that prior authorizations are causing retail pharmacists to spend more time and do more paperwork for prior authorizations and that the PA’s were for … Continue reading

… but sometimes patients win!

How the community feels can force a insurer into taking action it didn’t want to. Recently, Blue Cross Blue Shield of Illinois reversed its decision on requiring pre-approvals for mental health services (Chicago Tribune article) after doctors and others complained.  Prior approvals, as most folks know who work in managed care, are an easy way for … Continue reading