At the Oklahoma State Medical Association, we’re advocating for physicians and patients, each and every day.
Claim denials, prior authorization and unnecessary regulations are increasing costs, tying up precious health resources and keeping Oklahomans from getting the care they desperately need. Patients deserve better.
Health insurance issues affect six in 10 U.S. patients.
A recent KFF survey found 58% of people with health insurance encountered at least one problem using their coverage in the past year, leading to increased consumer costs, delayed care and increasing health problems.
Source: KFF.org
It’s time to draw the curtain on insurance red tape and bureaucracy.
Quotas on Claim Review and Denials Hurt Patient Care
Some large insurers place claim review quotas on in-house physicians, creating an atmosphere where speed is prized above patient health.
Source: ProPublica
Insurers Know Many Denied Claims Will Not Be Appealed
Fewer than 1% of denied claims are appealed by consumers. When they are appealed, more than half (56%) result in insurers upholding their original decision.
Source: KFF.org
Prior Authorization Denials Lead to Worse Patient Outcomes, Physician Burnout
More than 1 in 4 physicians (29%) report that prior authorization has led to a serious adverse event for a patient in their care. The average physician practice completes 39 prior authorization requests per week, with 89% of physicians reporting that these requests somewhat or significantly increase physician burnout.
Source: AMA-Assn.org