#priorauth — Public Fediverse posts
Live and recent posts from across the Fediverse tagged #priorauth, aggregated by home.social.
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Call it a Jeni's ice cream standard, I've got a nighttime double scoop 🍨 for you: Here are the six companies Medicare picked to run its AI prior authorization pilot
And House Democrats are introducing a bill tomorrow to try to stop the program, called WISeR.
https://www.statnews.com/2025/11/06/medicare-wiser-prior-authorization-pilot-tech-vendors/
#health #healthcare #medicine #medicare #priorauth #healthinsurance #ai #artificialintelligence #WISeR #CMS #CMMI
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The classic "brag about reducing prior auth on Monday" / "introduce new prior auth program on Friday" 🤘
Dr. Oz and CMS introduce a new, tech-enabled Medicare insurance approval program for fraud and waste, just days after holding a press conference talking about reducing prior auth.
#health #healthcare #healthinsurance #medicine #priorauth #cms #medicare
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CW: US health insurance; prior authorization
Some thoughts on #PriorAuth: It’s wild to me that health insurance companies try to shield themselves from medical malpractice liability and argue that doctors are independent practitioners, not agents of the insurance company, to preserve the patient-practitioner relationship. At the same time, step therapy and prior authorization requirements get in the way of patient care since the insurance company gets involved in making medical decisions.
So I had a thought: Could we not establish a principle where insurance gets to do one or the other? Either an insurance company can have prior auth but they take on liability for malpractice, *or* they have no liability for medical decision-making but have to pay for everything that’s already covered in the policy.
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And there goes our power in today's #maine storm. Can't blame #centralmainepower as it's blowing like crazy now.
Now to finish charts, calls and #priorauth requests before the various batteries run out.
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@rvaughnmd Not a problem, I teach med students so have faculty access to an online library. Will check later after charts and #priorauth calls. 🙄