In nearly every survey of physician sentiment, doctors cite administrative burdens associated with payer relations as distracting from patient care and the performance of their chosen profession. Rather than devote hours each day to non-clinical paperwork, many physicians choose to leave independent practice so they can once again devote their energies to the art and science of medicine.
Professional organizations such as the AACU promote laws and regulations that limit administrative burdens, protect the sacrosanct doctor-patient relationship, and hopefully pre-empt the need for physicians to make that decision.
The national “time cost” to physician practices of interactions with health insurers, including seeking prior authorization for procedures and medications, is estimated to be between $23 billion and $31 billion annually. There are more than 100 laws related to utilization review in at least 31 states that address diverse components of that process, from required response time to the layout of a printed or electronic form.
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