For patients with chronic conditions like diabetes, asthma, or heart disease, doctor-recommended long-term treatments aren’t just important—they’re a lifeline.
“[I wish] insurance companies would just let providers do their job!” one frustrated mother, whose son’s asthma had been adequately controlled since he was 8, told the Association.
“My son has asthma and was adequately controlled since he was 8 years old. Suddenly this year our insurance decided they wouldn’t pay for his maintenance inhaler anymore and pulmonologist needed to swap it. We swapped but it did not control his asthma as well so PA was needed for Symbicort which did not go through. He is 15 years old now and fighting to get the Symbicort back,” she said.
Unnecessary prior authorizations delay critical care and harm patients, placing profits above patient well-being. For individuals with chronic conditions, these delays can lead to worsening symptoms, increased emergency room visits, elevated healthcare costs and a diminished quality of life.
Eliminating repetitive, bureaucratic prior authorizations for patients with chronic conditions is just one of the Medical Association’s 11 priorities for prior authorization reform aimed at ensuring patients can have uninterrupted access to critical treatments.
Visit www.ALFixPriorAuth.com to share your story about how prior authorization has affected you or your loved ones.