We have talked before about prior authorizations for diagnostic testing and referrals but how about meds. This is a bigger scam and it is ONLY related to whether the insurance company has made a backroom deal with a pharmaceutical company. It has very little or nothing to do with whether the drug is efficacious or not. Now the insurers are sending electronic authorizations for which the doctors STILL has to take valuable time to fill out….sometimes over and over again. The above comes from a fellow DPC doc.
“Yes, I actually submitted this for a prior auth, and it was approved. I wonder if anyone even read it?”
This madness needs to be stopped.