Every so often I think about the fact that Gomez is so deeply in love with Morticia because the Addams were supposed to be the opposite of the average American family
MONTHs ago, I saw a young patient who lost all her hair one day. And as someone who developed alopecia areata ophiasis and lost all her eyebrows and hairlines, I KNOW I needed to act fast.
So far, this is the despicable game we have been asked to play with coordinated care:
- I tried “traditional” therapies with steroids, injections, etc. Failed (of course).
- I prescribed a Biologics that’s FDA approved for alopecia areata for patients over 12, and documented (heartbreaking) photos, and detailed reasoning why we needed the medication
- Insurance denied it. (#1)
- I appealed, got denial #2.
- I requested peer to peer discussion and blocked my busy clinic time to do it.
- A non-physician called my nursing staff and REFUSED to talk to me and denied my demand to talk to a peer, so even my peer to peer was denied! (#3)
- Told us we needed an exception application. I put together a 38 page letter including the FDA approval and clinical trials and my notes, again.
- We didn’t hear back for weeks.
- Then we got denial #4 because we “didn’t file the right appeal.”
- I filed yet ANOTHER appeal.
- We’ve not heard back again for weeks now. We keep calling and be put on hold for 30 minutes at a time.
Here is what prior authorizations do:
- they aim to drive cost down for insurance companies, and serves as few patients as possible
- they waste clinicians’ time for patient care
- they waste nursing staff’s time for patient care
- they hurt patients by dictating what happens in the exam rooms without actually being there
👏Prior 👏 Authorizations 👏 Are 👏SCAMS 👏 and 👏 they 👏 harm 👏 patients 👏
You know what I’m going to do? I’m going to get my patient the FUCKING medicine. 🤬
https://t.co/b0FXofLd90
Hi! I’m Najé and I am an alum and proud volunteer of the Shawn Carter Foundation Scholarship. I would love to detail all the ways in which this organization and thus Jay Z have helped me out (a thread)