Dr. Mehmet Oz, CMS administrator, highlighted critical reforms needed in the healthcare industry during a Fox News appearance, where he discussed the burdensome prior authorization process facing patients, which has diminished their trust in healthcare providers. He noted that 85% of families report negative impacts from these procedures, which often occur at critical moments in health discussions. Oz insisted on collaborative efforts with insurance companies to streamline this process, enhancing transparency and efficiency, ultimately aiming for a system that prioritizes patient care over administrative hurdles.
Prior authorization happens at a sensitive time in your life. You're about to get a really big diagnosis. Is it good? Is it bad? When you're having that precious, coveted discussion with your doctor, all of a sudden the long arm of the insurance industry comes in there and interrupts you and says, Wait a minute, we're not sure your premium covers that or not, and that has led to a crisis in confidence among patients.
The reality is, if we're doing forty prior authorizations a week, taking 12 hours of our time to get our patients cleared for procedures, that's inefficient, so we went to the insurance industry and we were very clear.
We've insisted on a dashboard. They have to be public at what they're doing. We want to know, for example, by the end of this month how many authorizations have been denied.
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