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 like Lacy from getting the care they desperately need. Patients deserve better.
How to Help!
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
For Many Patients, Delays in Care Aren’t Just an Inconvenience, They’re a Matter of Life and Death.
Some large insurers place claim review quotas on in-house physicians, creating an atmosphere where speed is prized above patient health.
Source: ProPublica
Quotas on Claim Review and Denials Hurt Patient Care
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
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