[Prior authorization is] frustrating, time consuming, NO value added, and delays care and even puts [patients] at risk for life-threatening situations. Utter, utter waste of time and energy.
Just [yesterday], I had a patient that needed a STAT computed tomography angiography (CTA) in whom I suspected pulmonary embolism (PE). But nope! Needed a [prior authorization] — went to review (!) and told us to call after noon. Fortunately, they approved it. Lo and behold- the guy has [bilateral] PEs and ended up in the hospital. There are thousands of such stories all over the country and still not a thing being done about it! Why aren’t insurance companies held responsible? Why aren’t they held accountable AND liable for any bad outcome??
Rajesh P., MD, New York