ashleyspencer, to random
@ashleyspencer@autistics.life avatar

My new ADHD med dose went into prior authorization with my health insurance.

I was told this can take anywhere from 24 hours to 2 weeks and still be denied.

I think they are fighting it because the copay covers 2 pills a day, but he prescribed 4 pills a day to get me to 100mg a day.

If I use GoodRx, I can get a month's supply for less than my insurance copay, and get it tomorrow.

UGH at US health insurance.

brianpierce,
@brianpierce@med-mastodon.com avatar

@ashleyspencer

Like many things in medicine, makes it more expensive, not less.

We can dispense generic for members of our practice for about $14 and up for 30 tabs but Mark Cuban's pharmacy has it for even less (no relationship with them):

https://costplusdrugs.com/medications/atomoxetinehcl-25mg-capsule/

bicmay, to random
@bicmay@med-mastodon.com avatar

"'Nationally, the primary physician works hard and has a lot of responsibilities but not well compensated compared to other specialties, so if you and me are in the same class and we have the same amount of debt, but you chose a specialty, I'm choosing to be a family physician, my pay is about half of yours,' Xu said."

https://www.cbsnews.com/detroit/news/michigan-health-experts-fear-primary-doctor-shortage-will-worsen-if-not-addressed/

CultureDesk, to animals
@CultureDesk@flipboard.social avatar

New research from South Korea suggests that interacting with dogs can affect brain activity to make people feel relaxed and improve concentration. For the study, 30 participants met, played with, fed, massaged, groomed, photographed, hugged and walked a four-year-old poodle named Aro, as changes in their brainwaves were measured. Here's more from NBC.

https://flip.it/ps1fQr

brianpierce,
@brianpierce@med-mastodon.com avatar

@CultureDesk
Great timing for this article, I've been bringing our 9 month old to my practice all this week.
We'll see if she train to be a eventually.

bicmay, to random
@bicmay@med-mastodon.com avatar

"Over the last decade, however, health experts have increasingly recognized that boys and men also suffer from eating disorders, and they have gained a better understanding of how differently the illness presents in that group. A small but growing body of scientists and physicians have dedicated themselves to identifying the problem, assessing its scope and developing treatments."
https://www.nytimes.com/2024/02/08/health/adolescents-boys-eating-disorders.html

PieterPeach, to random
@PieterPeach@mastodon.social avatar

Asking symptomatic patients to wear masks in general practice is a great and sustainable path forward. Hopefully this behaviour sticks.

nilikm, to random
@nilikm@med-mastodon.com avatar

When you leave work and find a sweet message from the mums of a toddler patient who has been very sick for the last few weeks because politicians and health leaders didn’t think it was worth preventing spread of . This is in the community. Small kindnesses, an antidote to the hate on social media and in our streets.

nilikm, to Ottawa
@nilikm@med-mastodon.com avatar

In counterpoint to all that’s nasty these days, returned from summer holidays to a kind letter from patients, thanking me for showing up as an ally at the rights march on Aug 25.

I can’t wait to see my wonderful patients again today - the joy of connection in family medicine - and also back to trustee work this evening.

We can be a caring community.







ProPublica, to Insurance
@ProPublica@newsie.social avatar

How Health Insurers Have Made Appealing Denials So Complicated

"I spoke with more than 50 insurance experts, patients, lawyers, physicians and consumer advocates about building a tool anyone could use to navigate insurance appeals.

"Nearly everyone said the same thing: Great idea. But almost impossible to do."

Hospitals

https://www.propublica.org/article/how-to-appeal-insurance-denials-too-complicated?utm_medium=social&utm_source=mastodon&utm_campaign=mastodon-post

brianpierce,
@brianpierce@med-mastodon.com avatar

@ProPublica
Thanks for another great article.

We're a practice but still run into this frequently with insurers, i.e. automatic denials, followed by complicated time consuming online forms and phone calls, even "peer to peer" for tests that meet their criteria.

bicmay, to random
@bicmay@med-mastodon.com avatar

Hello, I am interested in , , and . By day, I teach medical students health systems science, take care of uninsured patients, and currently study Vietnamese Americans and COVID-19. By night, I volunteer with Doctors for America and progressive Vietnamese American organization PIVOT. Always down for chatter about K-pop and K-dramas.

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