March 15, 2024 — Prior authorizations are a driving force in the burnout of physicians, denial of medical care, and the profitability of health insurance and pharmacy benefit plans. By one estimate, healthcare providers spend $35 billion every year on chasing down prior authorizations so that their patients can receive the care they need – whether that is a […]
May 30, 2023 — Let’s talk about lame excuses for denial of care in obesity. Writing in Quartz yesterday, Analisa Merelli explained the challenge obesity treatment presents for health insurer. The challenge comes down to this: “The line between healthcare and lifestyle can be blurry.” In this way of thinking, insurance companies must decide if the intentions are right […]
March 28, 2023 — A close look at how health insurance denies access to care for children and youth with severe obesity reveals one thing. The system is really set up as insurance for profits – not for health. The story of Debra and Dan Tyler seeking care for one of their daughters, as reported by Ariana Eunjung Cha […]
