Jun 20, 2018, 09:15 AM
Prescription Drug Pricing and PBM Practices Under Review by Pa. Auditor General
The review will focus on issues like whether Pa. pharmacies are subject to "gag clauses" to prevent pharmacists from disclosing certain prescription drug pricing information.
May 23, 2018, 15:54 PM
PAMED Member in D.C. to Urge More Efficient Approach to Prior Authorization
Prior authorization reform was a point of emphasis for PAMED Past President James Goodyear, MD, FACS, when he spoke before the National Committee on Vital Health Statistics in Washington, D.C. on May 17, 2018.
May 9, 2018, 12:27 PM
Contractors Can Add To Prior Auth Inefficiency, Say Patients
Patient story shows just how inefficient the prior auth process has become now that many insurers pay third-party companies to review and either approve or deny care.
Mar 15, 2018, 16:42 PM
Impact Prior Auth Debate By Filing An 'Official' Complaint
When physicians believe an unfair prior auth denial has occurred, they should file an official complaint with the Pennsylvania Insurance Department.
Mar 15, 2018, 08:00 AM
Advocating for Prior Authorization Reform – What PAMED Is Doing and How You Can Help
Patients deserve timely and appropriate care when their physicians recommend it. Unfortunately, as you know, that doesn’t always happen with prior authorization. Check out PAMED's latest efforts to advocate for reform, as well as 4 steps you can take to help.
Jan 17, 2018, 16:57 PM
Prior Auth Delays Prolong Teenagers’ Arthritis Pain
Thanks to a confusing and convoluted prior authorization process, it took months before a Middletown, Pa., teenager could find relief for his juvenile idiopathic arthritis.
Dec 14, 2017, 18:46 PM
Survey Says: Credentialing Process Burdensome and Costly for Physicians
PAMED recently polled members on impacts of of the slow credentialing process. See what physicians said.
Dec 14, 2017, 18:32 PM
Prior Auth Insurance Delays Hurt Patients; Legislation Aims to Improve Process
Improving transparency, standardization, and response times of prior authorization in Pennsylvania is the goal of HB 1293, a bill recently introduced by State Rep. Marguerite Quinn (R-Bucks).
Sep 21, 2017, 10:48 AM
Webinar: Prior Authorization Legislation & How Medical Practices Can Help
In the recorded webinar below, learn how you can help support state legislation that would reform the prior authorization process in Pennsylvania. Slides from the June 8, 2017, webinar are also available for download.
Sep 15, 2017, 12:09 PM
Pittsburgh Man On Insurance Delay: ‘What If I Would Have Died With This?’
Pittsburgh resident Jeff Duncan was convinced he had a sleep disorder when his mother noticed he momentarily stopped breathing while taking a nap in late 2016.
Sep 15, 2017, 12:08 PM
Insurance Prior Auth Delays Eastern PA Man From Weaning Off Opioids
Physicians say the use of prior auth has grown out of control. Few stories illustrate it better than that of Joe Stanziano, who experienced prior auth delays the prevented him from weaning off pain
Sep 15, 2017, 12:08 PM
Prior Auth Delay Allowed Pittsburgh Woman’s Undiagnosed MS to Progress
Kristen O'Toole lived a healthy, active life as communications consultant in Pittsburgh. That changed suddenly and dramatically in 2014 when she experienced back pain.