From the article:
What’s more, that confusion and frustration might be intentional. A physician employed by the health insurance company Elevance once told me, “We have productivity metrics. We probably have 10 or 15 minutes or so to do reviews and depending on the case, that may not be adequate. And we’re told denying things is OK because people can appeal.” The problem is that these appeals impose substantial costs on patients, many of whom don’t ultimately get their prescribed treatments. Read the entire article at the link - https://www.statnews.com/2025/01/23/health-insurance-denial-prior-authorization-help-appeal/
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