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December 13, 2019
A recent survey of physicians conducted by the American Medical Association showed that the average physician spends 14.6 hours a week on Prior Authorization (PA) requests from insurance companies. While PA’s are seen as a “check” on physicians who may be ordering unnecessary medical treatment, the downstream effects are worth noting: According to the survey:...
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Between 2003 and 2010, the American Diabetes Association (ADA) lowered the threshold of hemoglobin A1C used to measure and define a condition known as “Prediabetes.” With the stroke of a pen, 70 million Americans who were otherwise healthy now had a chronic condition. The downstream effects of such a move shouldn’t be ignored. 56% of...
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Fee-for-service (FFS) is a payment model wherein health systems are paid for the number of services rendered. Every service is itemized and paid for a la carte. Dissenters of the model say it perverses economic incentives and is, in part, to blame for the over-medicalization of Americans. In other words, health systems are not incentivized...
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