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- Title
THE PAIN OF PRIOR AUTHORIZATIONS: CONSEQUENCES OF THE DE-PRIORITIZATION OF HUMAN LIFE IN FAVOR OF COST CONTAINMENT.
- Authors
Hanel, Ajita
- Abstract
This document provides an overview of the negative consequences of the prior authorization process in healthcare, which prioritizes cost containment over patient well-being. It presents case studies where patients experienced delays in receiving necessary treatments due to prior authorization denials, resulting in adverse outcomes. The article argues for reforms to prioritize patient care and discusses the challenges and regulations associated with prior authorizations. It also discusses the history and development of managed care and utilization management in the United States, highlighting the growth of health maintenance organizations (HMOs) and preferred provider organizations (PPOs). The document explores the impacts of prior authorization on healthcare costs and quality, as well as the timeframes and delays associated with the process. It questions the prioritization of contractual obligations over human life in coverage denials and suggests potential solutions to improve the prior authorization process.
- Subjects
HEALTH insurance laws; COST control; MEDICAID; MANAGED care programs
- Publication
Houston Journal of Health Law & Policy, 2024, Vol 23, Issue 2, p43
- ISSN
1534-7907
- Publication type
Article