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

The true costs of prior authorizations

At a recent meeting, I was just pondering whether prior authorizations really save insurance companies money. As defined by MedicineNet.com, “prior authorizations” are a cost-containment procedure that requires a prescriber to obtain permission to prescibe a medication prior to prescribing it” [my emphasis]. Insurance practices, like prior authorizations, clearly cost physicians money in terms of the amount … 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