Insurance authorization
mercredi 7 février 2024 à 05:36The Biden administration is trying to stop insurance companies from going too far in refusing to cover specific medical treatments.
The "approvals" process is meant to save the expenses of procedures and medicines whose effectiveness would be dubious, but it is too eager to say "no". The people who do this are not doctors and do not know the patient -- they are working from rules,
My doctors have had to spend time dealing with the approvals process to get authorizations for medicines they have prescribed for me. The authorization come from a CVS company called "Carelon", and I don't know why it mails me a copy of authorizations for procedures. I worry that under some circumstances some clinic will demand I prove a procedure has been "authorized."
Every medicine-related organization seems to use "care" in its name, which seems to me like a marketing campaign. So I generally omit or replace that word. I call that company "Scarelon",