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#FixPriorAuth

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Posts tagged #FixPriorAuth

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Some relationships take more work—managing prior authorizations should not be one of them! Physicians and patients deserve a better system.

Like this post if you’re ready to help #FixPriorAuth. ❤️

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Valentine’s Day is supposed to be about love, not delays and denials. 💔😔

If prior authorization has negatively impacted your care, share your story to help #FixPriorAuth.

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KFF Health Tracking Poll: Prior Authorizations Rank as Public’s Biggest Burden When Getting Health Care | KFF KFF's health tracking poll finds that beyond costs, insured adults say prior authorization is their biggest challenges when accessing care. About seven in ten (69%) insured adults say prior authorizat...

1 in 3 insured Americans say prior authorization is a major burden to accessing care. Your physician knows best—insurers shouldn’t get the final say on what is “medically necessary.”

Read more from @kffhealthnews.org on why we must come together to #FixPriorAuth. bit.ly/45W3iMB

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The win we’re looking for this Super Bowl Sunday is a reformed prior auth system!

Join advocates across the country and add your voice to the call to #FixPriorAuth. bit.ly/4kyFdl1

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@senwarren @SenMarkey @RepKClark It’s time to #FixPriorAuth. Please support any legislative effort that would fix the broken prior authorization process.

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@patientsactionnetwork.com It’s time to #FixPriorAuth. Please support any legislative effort that would fix the broken prior authorization process.

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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.

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

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Frustrated with the current prior authorization system? We are too—that’s why we’re holding insurers accountable to deliver on their pledge to streamline this flawed system and improve access to care.

Get involved to help #FixPriorAuth: bit.ly/3KEu4BB

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Physicians at the AMA Interim Meeting — stop by the Grassroots booth to get tools and tips for advocating on prior authorization reform.

Let’s make sure insurers follow through on their latest pledge to #FixPriorAuth. bit.ly/4p9xlaH

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Insurers pledged to fix prior authorization (again). This time, let’s make sure they follow through! bit.ly/48dWhIs

#FixPriorAuth

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Prior Authorization, Quantity Limits, and Step Therapy for Antiemetics This cross-sectional study evaluates whether antiemetic drugs for patients with cancer who have Patient Protection and Affordable Care Act (ACA) Marketplace or Medicaid plans are subject to utilizatio...

#Priorauthorization #UtilizationManagement for costly 2nd-line 💊 is understandable but nearly one-half of plans have quantity limits for generic ondansetron, a cheap ($16 for 60 8mg tabs) & effective 1st-line drug

Make this make sense.
 
#fixPriorAuth
@michaelannica.bsky.social
@jamanetworkopen.com

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This flawed system is a waste of your time and resources – and it comes between you and your patients!

New survey data highlights the critical need to #FixPriorAuth. More from @ama-assn.org. bit.ly/456e9E8

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Original Investigation | Health Policy
Patient Perspectives on Prior Authorization for Cancer Care Bridgette Thom, PhD 2,3; Sonia Persaud, MPHA; Lauren V. Ghazal, PhD, RN, FNP-BCS :
Fumiko Chino, MD6
» Author Affiliations | Article Information
— RELATED ARTICLES
iM FIGURES SUPPLEMENTAL CONTENT
Additional Contributions: The author team acknowledges Ivy B. Elkins, MBA, EGFR Resisters, for her contributions to this analysis through her integral input on survey design, data collection, and data interpretation. Ms Elkins died June 23, 2024.
Key Points
Question How do patients with cancer describe their experiences with prior authorization for cancer care?
Findings In this qualitative study of 89 participants, 4 interconnected themes emerged from the responses to an open-ended text prompt: blinded navigation, intersecting burdens, interference with care, and a broken system.
Themes described patients' perspectives that prior authorization is a confusing process that adds to the adminis-trative, psychosocial, and financial burdens of cancer care.
Meaning These findings suggest that prior authorization processes can lead to negative outcomes for patients, and efforts toward health insurance reform must be inclusive of the patient voice.

Original Investigation | Health Policy Patient Perspectives on Prior Authorization for Cancer Care Bridgette Thom, PhD 2,3; Sonia Persaud, MPHA; Lauren V. Ghazal, PhD, RN, FNP-BCS : Fumiko Chino, MD6 » Author Affiliations | Article Information — RELATED ARTICLES iM FIGURES SUPPLEMENTAL CONTENT Additional Contributions: The author team acknowledges Ivy B. Elkins, MBA, EGFR Resisters, for her contributions to this analysis through her integral input on survey design, data collection, and data interpretation. Ms Elkins died June 23, 2024. Key Points Question How do patients with cancer describe their experiences with prior authorization for cancer care? Findings In this qualitative study of 89 participants, 4 interconnected themes emerged from the responses to an open-ended text prompt: blinded navigation, intersecting burdens, interference with care, and a broken system. Themes described patients' perspectives that prior authorization is a confusing process that adds to the adminis-trative, psychosocial, and financial burdens of cancer care. Meaning These findings suggest that prior authorization processes can lead to negative outcomes for patients, and efforts toward health insurance reform must be inclusive of the patient voice.

A photo an amazing lung cancer advocate and research team member

A photo an amazing lung cancer advocate and research team member

The patient voice is essential. Ms Ivy Elkins was an incredible advocate & vital contributor to science. I was proud to have worked with her & glad this patient-centered work continues on in her honor.

#priorAuthorization #fixpriorAuth @jama.com Network Open

jamanetwork.com/journals/jam...

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The prior authorization system is broken, and it’s time for change.

Comment #FixPriorAuth if you’re ready to take action. 👇

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We’ve seen the hard facts and heard your stories about the broken prior authorization system. It’s time for solutions!

Join our efforts to #FixPriorAuth. bit.ly/4nGGVlk

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Prior authorization is an administrative burden that not only costs you valuable time, but prevents your patients from receiving the care they need. 😞

See how we’re fighting to #FixPriorAuth. bit.ly/3EhuZVv

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The prior authorization process can delay care for days, weeks or even months. We need decision-makers to prioritize patients and #FixPriorAuth.

❤️Like this post if you’re ready for change.

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We’re working to break this never-ending cycle and #FixPriorAuth.

See how you can get involved. bit.ly/4nF9xvx

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Americans across the country are experiencing delays in access to care due to opaque prior authorization requirements. It’s time for Congress to finally do something about it!

See how you can get involved in our fight to #FixPriorAuth. bit.ly/4nGGVlk

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AMA responds as health insurers try again at prior authorization reform Credits agency officials & federal lawmakers for leadership and holding industry accountable.

Agency officials and federal leaders are taking action to streamline prior authorization. Read more from Bobby Mukkamala, MD, @ama-assn.org President, in his statement on the need for reform. #FixPriorAuth bit.ly/3GePFhT

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AMA responds as health insurers try again at prior authorization reform Credits agency officials & federal lawmakers for leadership and holding industry accountable.

Bobby Mukkamala, MD, @ama-assn.org President, released a statement on the Administration’s efforts to streamline the prior authorization process. Read more about the proposals announced to help #FixPriorAuth: bit.ly/3GePFhT

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THE HEALTH INSURANCE
MAZE
How Cancer Patients Get Lost in the Red Tape of Utilization Management

THE HEALTH INSURANCE MAZE How Cancer Patients Get Lost in the Red Tape of Utilization Management

Key Report Themes
CANCERCATE
Over 80 Years ef Help and Hope
• Prior authorization is widespread and repetitive
• Prior authorization leads to time burdens and care delays
• Coverage stoppages surprise patients and interrupt care
• Insurance problems affect stress, health, finances, and trust
• Self-advocacy barriers include gaps in insurance literacy and system awareness
• Employer-sponsored plans carried highest administrative burdens, followed by Medicare Advantage, then Traditional Medicare

Key Report Themes CANCERCATE Over 80 Years ef Help and Hope • Prior authorization is widespread and repetitive • Prior authorization leads to time burdens and care delays • Coverage stoppages surprise patients and interrupt care • Insurance problems affect stress, health, finances, and trust • Self-advocacy barriers include gaps in insurance literacy and system awareness • Employer-sponsored plans carried highest administrative burdens, followed by Medicare Advantage, then Traditional Medicare

Needed At Least One Prior Authorization for Cancer Treatment, Past 12 Months, by Insurance Type

Needed At Least One Prior Authorization for Cancer Treatment, Past 12 Months, by Insurance Type

"It is a nightmare waking up every day wondering if some people halfway across the country will approve what my doctors have said is my only chance."

📄 New #PriorAuth in cancer report shows the scope of the problem & the need to #fixpriorAuth @cancercare.bsky.social

www.cancercare.org/redtape

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Prior authorization shouldn't be delaying or denying necessary patient care, especially when you — as the physician — know best.

Learn more about our efforts to #FixPriorAuth: bit.ly/4juQt0s

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Your physician wants to provide you and your loved ones with the best care, but insurers continue to get in the way. It’s ultimately hurting the patient-physician relationship!

Join Anna in sharing your story to help #FixPriorAuth. bit.ly/4jzcsCO

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Excited to be in DC with this stellar team from @mdanderson.bsky.social for #ASTROAdvocacy Day!

#RadOnc from all over 🇺🇸 are meeting our elected officials today to advocate for our patients with cancer:

🤝 Support the #ROCR Act
⏰ It's time to #FixPriorAuth
⬆️ $$ for #cancer research

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Spending my birthday 🥳 here in DC for #ASTROAdvocacy Day!

#radoncs from all over the US are here to tell Congress:
🤝 Support the #ROCR Act
⏰ It's time to #FixPriorAuth
⬆️ $$ for #cancer research

www.votervoice.net/mobile/ASTRO...

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🇺🇸Excited to be in DC with Dr Joyner @mdanderson.bsky.social & 100 other #radonc. We here advocating for pts with cancer by urging support for the #ROCR Act, to #fixpriorAuth, & to fund discovery of the next cancer cure thru #cancerResearch @astro-org.bsky.social

www.votervoice.net/mobile/ASTRO...

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The current prior authorization process undermines your expertise and comes between you and your patients. 😔
See how we’re fighting to #FixPriorAuth. bit.ly/4juQt0s

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The current prior authorization process undermines your expertise and comes between you and your patients. 😔

See how we’re fighting to #FixPriorAuth. bit.ly/3EhuZVv

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