Has an insurance carrier denied your prior authorization request?
We want to hear about it.
TAKE BACK
HEALTHCARE
Share your story of the prior authorization abuses that interfere with patient care.
Abusive utilization review policies such as
prior authorization and step therapy lead to
patient harm and physician burnout.
Over 70% of insurance denials are reversed after costly, dangerous, and unnecessary appeal processes
94% of physicians report significant delays in patient access to necessary healthcare
80% of physicians report that patient abandon treatment due to prior authorization denials
It's time for us to #takebackhealthcare.
Has an insurance carrier or pharmacy benefit manager denied health services, medications, or labs?
Have they required mutliple drugs to be tried-and-failed before approving the requested medication?
Have your patients suffered from delayed treatments?
Have your been denied requests for "peer-to-peer" utilization review or been required to speak to an individual not within your specialty?
Have you been mandated with a decision that was outside the nationally recognized standard of care?
Tell Your Story
Your experience can help us #takebackhealthcare in Maryland.
Share your story with us along with any examples of any denial letters you have received.
Be sure to adhere to HIPAA regulations and omit all identifiable information.
Note: Maryland laws only apply to the fully insured market or Maryland Medicaid. To determine if a denial falls within these areas, the patient’s insurance card will indicate either “MIA”, “Maryland Insurance Administration”, “MDH” or “Maryland Department of Health.”
This can typically be found on the back of the insurance card.
Why Do We Want Your Stories?
At the request of the Maryland General Assembly, MedChi is leading a coalition of insurers, pharmacy benefit managers, medical societies, allied health associations, physicians, health care practitioners, and other stakeholders to craft legislation that will address the prior authorization hurdles that harm patients.
Any information that is submitted will not be associated with the physician submitting it.
Help us advocate for you and your patients by sharing your story here or sending it to TakeBackHealthcare@medchi.org.
Further Resources
Copyright © 2009-2023 by the Medical and Chirurgical Faculty of the State of Maryland