Latest posts tagged with #priorauth on Bluesky
I can hold my head high my #healthpolicy #legislative work directly benefits #patients ( #kidney care, #medical #research, #priorauth reform)
Whatever my future in #policy, I will not lift a finger to help doctors if not directly benefiting #patients. The ones profession is abandoning to appease 🤡
The top thing I like about the Member of Congress I’m working with (older though not geriatric age woman) is she knows her issue areas cold. Including one that is highly technical ( #kidney disease). Absolutely could do a “chalk talk” on #priorauth or #Medicare compensation of ESRD
I get it, #academicmedicine feels like a scam sometimes. my dudes, I may be writing a bill next week to prevent CMS enrolling #olderadults in #MedicareAdvantage without their consent and be forced into #priorauth
This affects clinical practice far more than Journal of 5 people read in last 20 years
My boss in the #House of Representatives is big in the (anti) #priorauth space, so I just sent this as an SOS #policy emergency at 9 PM on a Friday to my poor #health #legislative advisor lol - sounds like it would require #Congressional approval, so we may be drafting a bill to block this Monday AM
Two people are engaged in conversation, sitting inside a room. One person is seen from behind, wearing a white coat, listening attentively. The other person is gesturing with their hands while speaking.
Our latest #research polling reveals the challenges patients face with #PriorAuthorization. Most Americans with a #ChronicIllness needed #PriorAuth in the past year, with 41% requiring it multiple times.
Dive deeper into our findings: https://bit.ly/409XSKM
#MedSky #ChronicIllness
my tipping point after paying the amount of money I have for yrs for diseases “They” caused us to have. I don't know about you but I would love to be back on our timeline this isn't it. #1stCrashOut2026 #PriorAuth #Insurance #Government #PrescriptionDiscountCard
CMS WISeR Model, launched 1/1/26, imposes #Al-driven #priorauth into Medicare.
Big rollout challenges:
-vague confusing guidelines
-increased admin burdens on providers
-concerns over automated denials. -fears that $ incentives for contractors may cut patient access to care
tinyurl.com/2p9swyk5
An individual stands next to a message urging Congress not to let prior authorization hinder patient treatment, with a prompt to contact lawmakers today.
55% of adults aged 65+ report that they had to obtain #PriorAuth before receiving a treatment within the past 2 years (@kff.org, 2025).
H.R. 3514/S. 1816 aims to modernize PA with electronic processes, transparency, & accountability. Ask #Congress to support this legislation: https://bit.ly/45M3SwL
We in #healthpolicy are thankful Trump neither understands nor gives even half a shit about #healthcare because we actually can somewhat try to do some productive stuff in Congress (we are working on an anti- #priorauth bill with 200+ cosponsors)
My #trade and #foreignpolicy comrade is not so lucky
BILL NUMBER: A9407 PURPOSE OR GENERAL IDEA OF BILL: To prohibit prior authorization for oncology care which has previously been authorized and complies with National Comprehensive Cancer Network (NCCN) guidelines with Categories of Evidence and Consensus 1 or 2A as evidence-based standards of care.
Proud of the New York State Assembly for introducing this bill which bans #priorAuth for any cancer rx w/ a NCCN level 1 or 2A rec. This would be a meaningful step to #FixPriorAuth. 💊 ☢️
#PriorAuthorization: "it's just wasting people's time"
nyassembly.gov/leg/?default...
@ascocancer.bsky.social
Yeah it was a good productive week for #healthcare thanks for the tireless efforts of Rep. Underwood’s office.
(The congresswoman I’m working with is focused on getting #priorauth out of #Medicare, also important, hope to get that across the finish line while I’m here too)
I told my parents at #birthday dinner today of serious plans to look outside US to practice #medicine.
No #priorauth, no #insurance, no ban on critical #healthcare staffing like #doctors and #nurses that courts are totally ok cuz they want an all white country with immense preventable death
#AI #HealthInsurance #PriorAuthorization #AIHealth #AIHealthcare #AIHealthInsurance #InsuranceDenial #PriorAuth
AMA: AI-driven coverage decisions MUST disclose criteria, validation, risks. Patients deserve transparency.
Read: tinyurl.com/3ptpu93k
Read: tinyurl.com/mz95ah4
Click: tinyurl.com/ybwy9jhj
#AMA #AIethics #PriorAuth
“Cancer pts & their families are being pulled into the #priorauthorization process, at the expense of their time, health, & well-being”
#Priorauth isn’t just an administrative hurdle for clinicians; it’s a hidden 2nd job for patients. #ascoQLTY25
@ascocancer.bsky.social
@ascopost.bsky.social
AI Prior Authorization Automation in Healthcare
staffingly.com/ai-prior-aut...
#PriorAuthorization #HealthcareAI #MedicalBilling, #HealthcareAutomation #VirtualMedicalAssistant #PriorAuth
As Insurers Pledge Prior Authorization Reform, Here’s How Automation Can Help Providers Keep Pace #PriorAuth #HealthIT
www.healthcareittoday.com/?p=2526655
Instead of the Virgin Suicides, we'll have the #Geriatrician suicides. (black humor but also not - we love seeing patients, but #priorauth and #insurance companies consuming 80% of our time causes significant burnout, the fact we'll be battling a data center instead of a human...won't help)
Agents Knew Our Specialty No More Explaining Terms Twice
staffingly.com/agents-knew-...
#HealthcareAI #VirtualAgents #HealthTech #ClinicalSupport #PriorAuth #MedicalBilling #DigitalHealth #OperationalExcellence #Staffingly
🗣️"The system is horribly broken & it hurts patients unnecessarily”
🗣️"They wrote me off as a dead man”
Navigating #priorauth requires tech savvy, an understanding of insurance processes, knowledge of personal rights, & time to engage in the process.
@ascocancer.bsky.social @astro-org.bsky.social
Beyond the Rules Engine: How Agentic AI Is Helping Health Plans Solve Prior Authorization #priorauth #HealthIT
www.healthcareittoday.com/?p=2525023
Availity is Already Automating Prior Auths #PriorAuth #RCM #HFMAAnnual
www.healthcareittoday.com/?p=2524559
#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.
Struggling with #priorauth denials? Learn how smarter strategies and expert support can turn them into fast approvals—and save time, money, and care. Learn more at sunknowledge.com/how-to-effec...
staffingly.com/patient-jour...
Patient Journey Through Eligibility Checks and Prior Authorization: Wegovy and Zepound
#PriorAuth #Wegovy #Zepbound #GLP1Support #InsuranceVerification #ZappyHealth #VirtualCare #WeightLossMedications
This will literally kill people. My wife's kidney cancer bone met was not picked up on X-rays. An ortho suspected rotator cuff tear but ordered MRI to be sure. Surprise - 4cm lesion & a full shoulder replacement. According to doc without Medicare it would have been months of delay. No #priorAuth!
🚨CMS just announced a model to introduce new #priorauthorization barriers to Traditional Medicare (which classically hasn't faced any).
We need less #priorAuth, not more.
Don't let this title fool you.
This is a "fix" for a problem that doesn't exist.
@ascocancer.bsky.social
@astro-org.bsky.social
Two women taking a selfie while smiling in the door of an elevator bc we forgot to take a photo in a more picturesque setting
Love academic meetings for catch up sessions with my amazing friends & collaborators. Dr @lghazal.bsky.social gave an important talk at #mascc25 on #financiaToxicity in #ayacsm. We do a tonne of research together about #priorAuth & healthy policy gaps. But we also just like to hang out. 😘
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...
