Woot woot – it’s time for the Fact Police to roll up on one of the most maligned – and misunderstood – systems in medicine.
If you think that the purpose of prior authorization is to ensure that claims are medically-necessary and expenses are appropriate, then this video is for you.
But if you think that prior authorization is simply a tool used by insurers to deny claims and boost profits, then this video is especially for you. Because the real game that insurance companies are playing with prior authorization is more sophisticated – and arguably more detrimental to the U.S. health care system as a whole.
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The Sheriff of Sodium 