🎵 “Jesus, I’m Still Here”
I wrote this song about the night an ER doctor said I was dehydrated and anxious. A second doctor listened, ordered one more test, and found a saddle PE with right heart strain back in 2025.
Every denied claim carries a name.
#FaithAndJustice #Priorauth #Jesus
I wrote this song about the night an ER doctor said I was dehydrated and anxious. A second doctor listened, ordered one more test, and found a saddle PE with right heart strain back in 2025.
Every denied claim carries a name.
#FaithAndJustice #Priorauth #Jesus
November 3, 2026 at 7:22 PM
🎵 “Jesus, I’m Still Here”
I wrote this song about the night an ER doctor said I was dehydrated and anxious. A second doctor listened, ordered one more test, and found a saddle PE with right heart strain back in 2025.
Every denied claim carries a name.
#FaithAndJustice #Priorauth #Jesus
I wrote this song about the night an ER doctor said I was dehydrated and anxious. A second doctor listened, ordered one more test, and found a saddle PE with right heart strain back in 2025.
Every denied claim carries a name.
#FaithAndJustice #Priorauth #Jesus
👋🏽 Hey #WA patients, providers, workers - Dealt with prior authorization recently? @propublica.org wants to hear from you: www.propublica.org/getinvolved/...
#PriorAuth #PriorAuthorization #HealthCare #HealthInsurance #HealthCoverage #HealthPolicy #HealthEquity #HealthJustice
#PriorAuth #PriorAuthorization #HealthCare #HealthInsurance #HealthCoverage #HealthPolicy #HealthEquity #HealthJustice
We’re Investigating Prior Authorization. Help ProPublica Understand Your Health Insurance Denial.
ProPublica is looking into the ways health insurers’ use of prior authorization impacts patients. We need your help to figure out if the process is still leading to delayed or missed treatments, tests...
www.propublica.org
October 27, 2026 at 11:59 PM
👋🏽 Hey #WA patients, providers, workers - Dealt with prior authorization recently? @propublica.org wants to hear from you: www.propublica.org/getinvolved/...
#PriorAuth #PriorAuthorization #HealthCare #HealthInsurance #HealthCoverage #HealthPolicy #HealthEquity #HealthJustice
#PriorAuth #PriorAuthorization #HealthCare #HealthInsurance #HealthCoverage #HealthPolicy #HealthEquity #HealthJustice
Hey employers: a Senate report out Oct. 20 has a machinist denied a knee replacement 3 times and a CF patient denied 10 of 13 prescriptions. Under 1% of 85M denied ACA claims got appealed. Do you know how often your plan says no? #PriorAuth
October 26, 2026 at 9:15 PM
Hey employers: a Senate report out Oct. 20 has a machinist denied a knee replacement 3 times and a CF patient denied 10 of 13 prescriptions. Under 1% of 85M denied ACA claims got appealed. Do you know how often your plan says no? #PriorAuth
Prior auth fails on the messy packets, not the clean ones.
Our take on exception triage: an agent sorts complete from incomplete, routes exceptions to a real owner, and a person still decides anything that touches coverage.
#PriorAuth #AgenticAI
Our take on exception triage: an agent sorts complete from incomplete, routes exceptions to a real owner, and a person still decides anything that touches coverage.
#PriorAuth #AgenticAI
October 20, 2026 at 3:45 PM
Prior auth fails on the messy packets, not the clean ones.
Our take on exception triage: an agent sorts complete from incomplete, routes exceptions to a real owner, and a person still decides anything that touches coverage.
#PriorAuth #AgenticAI
Our take on exception triage: an agent sorts complete from incomplete, routes exceptions to a real owner, and a person still decides anything that touches coverage.
#PriorAuth #AgenticAI
Who do we trust to decide what health care gets covered and at what price?
Answer in comments.
Explore the tradeoffs of prior authorization and insurance costs.
🔗 www.kff.org/health-costs...
#HealthCare #PriorAuth #HealthCosts
Answer in comments.
Explore the tradeoffs of prior authorization and insurance costs.
🔗 www.kff.org/health-costs...
#HealthCare #PriorAuth #HealthCosts
Who Do We Trust to Decide What Health Care Gets Covered, and at What Price? | KFF
Deciding what health care gets covered largely falls to health insurers, and it’s not a role that wins them many fans. A KFF poll finds prior authorization is the single biggest burden insured adults ...
www.kff.org
October 19, 2026 at 5:13 PM
Who do we trust to decide what health care gets covered and at what price?
Answer in comments.
Explore the tradeoffs of prior authorization and insurance costs.
🔗 www.kff.org/health-costs...
#HealthCare #PriorAuth #HealthCosts
Answer in comments.
Explore the tradeoffs of prior authorization and insurance costs.
🔗 www.kff.org/health-costs...
#HealthCare #PriorAuth #HealthCosts
#PriorAuth must be abolished, in all state & federally funded health programs.
(Should be abolished completely, but that’s next)
(Should be abolished completely, but that’s next)
September 25, 2026 at 12:59 PM
#PriorAuth must be abolished, in all state & federally funded health programs.
(Should be abolished completely, but that’s next)
(Should be abolished completely, but that’s next)
My co-fellows presentations are very professional and high level and on the dry side, and here I am using #SchoolhouseRock pictures to walk through our #priorauth bill 😂- we are all mid to senior career professionals but it’s still ok to have a little whimsy in our lives right?
September 7, 2026 at 10:12 PM
My co-fellows presentations are very professional and high level and on the dry side, and here I am using #SchoolhouseRock pictures to walk through our #priorauth bill 😂- we are all mid to senior career professionals but it’s still ok to have a little whimsy in our lives right?
𝐒𝐭𝐫𝐞𝐧𝐠𝐭𝐡𝐞𝐧𝐢𝐧𝐠 𝐖𝐚𝐬𝐡𝐢𝐧𝐠𝐭𝐨𝐧'𝐬 𝐏𝐫𝐢𝐨𝐫 𝐀𝐮𝐭𝐡𝐨𝐫𝐢𝐳𝐚𝐭𝐢𝐨𝐧 𝐋𝐚𝐰
Washington passed prior authorization reform. KCMS members wrote a resolution to close the gaps left open in SB 5395, because a law that insurers can work around is not protection.
#WashingtonPhysicians #PhysicianAdvocacy #PriorAuth
Washington passed prior authorization reform. KCMS members wrote a resolution to close the gaps left open in SB 5395, because a law that insurers can work around is not protection.
#WashingtonPhysicians #PhysicianAdvocacy #PriorAuth
September 8, 2026 at 12:00 AM
𝐒𝐭𝐫𝐞𝐧𝐠𝐭𝐡𝐞𝐧𝐢𝐧𝐠 𝐖𝐚𝐬𝐡𝐢𝐧𝐠𝐭𝐨𝐧'𝐬 𝐏𝐫𝐢𝐨𝐫 𝐀𝐮𝐭𝐡𝐨𝐫𝐢𝐳𝐚𝐭𝐢𝐨𝐧 𝐋𝐚𝐰
Washington passed prior authorization reform. KCMS members wrote a resolution to close the gaps left open in SB 5395, because a law that insurers can work around is not protection.
#WashingtonPhysicians #PhysicianAdvocacy #PriorAuth
Washington passed prior authorization reform. KCMS members wrote a resolution to close the gaps left open in SB 5395, because a law that insurers can work around is not protection.
#WashingtonPhysicians #PhysicianAdvocacy #PriorAuth
As I do #fellowship #capstone, going over things I did (among other things, solo wrote letter to protect #NIH with >30 co-signers, helped write #billtext on two bills to improve #kidney care, and get a #priorauth bill unanimously through committee
…and not any of it counts for jack shit in #academia
…and not any of it counts for jack shit in #academia
September 6, 2026 at 12:41 AM
As I do #fellowship #capstone, going over things I did (among other things, solo wrote letter to protect #NIH with >30 co-signers, helped write #billtext on two bills to improve #kidney care, and get a #priorauth bill unanimously through committee
…and not any of it counts for jack shit in #academia
…and not any of it counts for jack shit in #academia
What would *really* help, would be outlawing prior authorization for every health insurance company receiving state or federal monies.
The AMA wants it gone. Ditching #PriorAuth will save $$ & lives, & reduce physician burnout.
fixpriorauth.org/sites/defaul...
The AMA wants it gone. Ditching #PriorAuth will save $$ & lives, & reduce physician burnout.
fixpriorauth.org/sites/defaul...
fixpriorauth.org
August 28, 2026 at 12:23 PM
What would *really* help, would be outlawing prior authorization for every health insurance company receiving state or federal monies.
The AMA wants it gone. Ditching #PriorAuth will save $$ & lives, & reduce physician burnout.
fixpriorauth.org/sites/defaul...
The AMA wants it gone. Ditching #PriorAuth will save $$ & lives, & reduce physician burnout.
fixpriorauth.org/sites/defaul...
There are actually several - the one that I worked on all year is a #MedicareAdvantage #PriorAuth bill, but there is also a bill for #Medicare coverage of multi #cancer screening tests (338 cosponsors) and a #pediatric rare disease and #research act (313 cosponsors)
But yeah, Lake America, sure
But yeah, Lake America, sure
August 27, 2026 at 10:28 PM
There are actually several - the one that I worked on all year is a #MedicareAdvantage #PriorAuth bill, but there is also a bill for #Medicare coverage of multi #cancer screening tests (338 cosponsors) and a #pediatric rare disease and #research act (313 cosponsors)
But yeah, Lake America, sure
But yeah, Lake America, sure
I'll mention magnum opus of my #healthpolicy #fellowship, Seniors Timely Access to Care Bill WHICH BETTER BECOME LAW IN 2026...will help tiny bit with this. Requires #electronic #priorauth (won't help my elderly not tech savvy patients much, but may help overworked #pharmacists and #carenavigators)
Text of H.R. 3514: Improving Seniors’ Timely Access to Care Act of 2025 (Introduced version) - GovTrack.us
Text of H.R. 3514: Improving Seniors’ Timely Access to Care … as of May 20, 2025 (Introduced version). H.R. 3514: Improving Seniors’ Timely Access to Care Act of 2025
www.govtrack.us
August 25, 2026 at 2:03 PM
I'll mention magnum opus of my #healthpolicy #fellowship, Seniors Timely Access to Care Bill WHICH BETTER BECOME LAW IN 2026...will help tiny bit with this. Requires #electronic #priorauth (won't help my elderly not tech savvy patients much, but may help overworked #pharmacists and #carenavigators)
Today I saw a patient who needs a PET scan to help us figure out how to most safely and effectively biopsy her cancer
PET scan appointment available Monday but was told it would be at least 2 weeks because of #priorauth
This is not how it is supposed to work
@MedicineForward
PET scan appointment available Monday but was told it would be at least 2 weeks because of #priorauth
This is not how it is supposed to work
@MedicineForward
December 1, 2024 at 5:20 AM
Today I saw a patient who needs a PET scan to help us figure out how to most safely and effectively biopsy her cancer
PET scan appointment available Monday but was told it would be at least 2 weeks because of #priorauth
This is not how it is supposed to work
@MedicineForward
PET scan appointment available Monday but was told it would be at least 2 weeks because of #priorauth
This is not how it is supposed to work
@MedicineForward
#OBBBA also undermines bipartisan state progress to increase affordability and accessibility of care thru diabetes coverage requirements, limits on cost sharing, and #priorauth reforms, as attention/funding turn to responding to the mess #OBBBA will cause the individaul market.
June 30, 2025 at 9:19 PM
#OBBBA also undermines bipartisan state progress to increase affordability and accessibility of care thru diabetes coverage requirements, limits on cost sharing, and #priorauth reforms, as attention/funding turn to responding to the mess #OBBBA will cause the individaul market.
Hard NO on push for Medicare Advantage … coming from health insurance contracting (Payor & Provider sides). MA denials for PriorAuth is awful, doesn’t save over traditional Medicare.
IMO - Hold firm on ACA, push Universal Healthcare folding in Medicare beneficiaries.
Comments?
IMO - Hold firm on ACA, push Universal Healthcare folding in Medicare beneficiaries.
Comments?
February 27, 2025 at 6:21 PM
Hard NO on push for Medicare Advantage … coming from health insurance contracting (Payor & Provider sides). MA denials for PriorAuth is awful, doesn’t save over traditional Medicare.
IMO - Hold firm on ACA, push Universal Healthcare folding in Medicare beneficiaries.
Comments?
IMO - Hold firm on ACA, push Universal Healthcare folding in Medicare beneficiaries.
Comments?
Treatment approved…after weeks of back‑and‑forth. Prior authorization delays are a top frustration and can worsen health. Where have you hit the heaviest paperwork wall? #healthcare #priorauth?
June 7, 2026 at 11:44 PM
Treatment approved…after weeks of back‑and‑forth. Prior authorization delays are a top frustration and can worsen health. Where have you hit the heaviest paperwork wall? #healthcare #priorauth?
🚨 Last call! Tell us how health policy issues like #priorauth and #steptherapy are impacting you in our short survey. This will set the tone for our advocacy work in the 119th Congress and help us better represent YOU on Capitol Hill. 🏛️
Get started 👉🏼 ow.ly/wcVO50ULPOC.
Get started 👉🏼 ow.ly/wcVO50ULPOC.
January 23, 2025 at 4:10 PM
🚨 Last call! Tell us how health policy issues like #priorauth and #steptherapy are impacting you in our short survey. This will set the tone for our advocacy work in the 119th Congress and help us better represent YOU on Capitol Hill. 🏛️
Get started 👉🏼 ow.ly/wcVO50ULPOC.
Get started 👉🏼 ow.ly/wcVO50ULPOC.
@cignahealthcare.bsky.social should be so proud of itself. Patient who has been on Repatha for years. Now in 2025 they sent a 31 in-depth clinical questions to be answered in order to approve this medication
We have nothing else to do with our time, do we? #CVprev #priorauth #cardiosky
We have nothing else to do with our time, do we? #CVprev #priorauth #cardiosky
a woman says " stop the madness " while dancing in front of a refrigerator
ALT: a woman says " stop the madness " while dancing in front of a refrigerator
media.tenor.com
January 27, 2025 at 8:28 PM
@cignahealthcare.bsky.social should be so proud of itself. Patient who has been on Repatha for years. Now in 2025 they sent a 31 in-depth clinical questions to be answered in order to approve this medication
We have nothing else to do with our time, do we? #CVprev #priorauth #cardiosky
We have nothing else to do with our time, do we? #CVprev #priorauth #cardiosky
As Insurers Pledge Prior Authorization Reform, Here’s How Automation Can Help Providers Keep Pace #PriorAuth #HealthIT
www.healthcareittoday.com/?p=2526655
www.healthcareittoday.com/?p=2526655
September 22, 2025 at 5:30 PM
As Insurers Pledge Prior Authorization Reform, Here’s How Automation Can Help Providers Keep Pace #PriorAuth #HealthIT
www.healthcareittoday.com/?p=2526655
www.healthcareittoday.com/?p=2526655
Beyond the Rules Engine: How Agentic AI Is Helping Health Plans Solve Prior Authorization #priorauth #HealthIT
www.healthcareittoday.com/?p=2525023
www.healthcareittoday.com/?p=2525023
July 22, 2025 at 5:31 PM
Beyond the Rules Engine: How Agentic AI Is Helping Health Plans Solve Prior Authorization #priorauth #HealthIT
www.healthcareittoday.com/?p=2525023
www.healthcareittoday.com/?p=2525023
Availity is Already Automating Prior Auths #PriorAuth #RCM #HFMAAnnual
www.healthcareittoday.com/?p=2524559
www.healthcareittoday.com/?p=2524559
July 17, 2025 at 5:45 PM
Availity is Already Automating Prior Auths #PriorAuth #RCM #HFMAAnnual
www.healthcareittoday.com/?p=2524559
www.healthcareittoday.com/?p=2524559
I've been on the verge of a 1-word "priorauth" spelling.
April 29, 2026 at 6:56 PM
I've been on the verge of a 1-word "priorauth" spelling.
UHC, remember that time when when my son swallowed a battery that got stuck in his esophagus & the doctor prescribed liquid medication to soothing the burn in his throat & allow him to eat & you all denied it & then we got a PriorAuth & you still denied it, causing him more suffering. #unnecessary
December 11, 2024 at 11:05 PM
UHC, remember that time when when my son swallowed a battery that got stuck in his esophagus & the doctor prescribed liquid medication to soothing the burn in his throat & allow him to eat & you all denied it & then we got a PriorAuth & you still denied it, causing him more suffering. #unnecessary
Prior authorizations are a pain point for physicians and patients alike. Could "gold cards"—PA exemptions for trusted physicians—be the solution? Streamlining admin burdens and improving care, this idea sparks hope (and skepticism). 😆 #PriorAuth #design
Is the gold card the golden ticket to fixing prior authorization?
Can gold cards streamline prior authorization in healthcare? Discover the potential benefits and limitations of this promising solution for physicians and patients.
buff.ly
November 22, 2024 at 3:24 PM
Prior authorizations are a pain point for physicians and patients alike. Could "gold cards"—PA exemptions for trusted physicians—be the solution? Streamlining admin burdens and improving care, this idea sparks hope (and skepticism). 😆 #PriorAuth #design
Our latest #research polling reveals the challenges patients face with #PriorAuthorization. Most Americans with a #ChronicIllness needed #PriorAuth in the past year, with 41% requiring it multiple times.
Dive deeper into our findings: https://bit.ly/409XSKM
#MedSky #ChronicIllness
Dive deeper into our findings: https://bit.ly/409XSKM
#MedSky #ChronicIllness
March 10, 2026 at 5:50 PM
Our latest #research polling reveals the challenges patients face with #PriorAuthorization. Most Americans with a #ChronicIllness needed #PriorAuth in the past year, with 41% requiring it multiple times.
Dive deeper into our findings: https://bit.ly/409XSKM
#MedSky #ChronicIllness
Dive deeper into our findings: https://bit.ly/409XSKM
#MedSky #ChronicIllness