Prior authorization is the top challenge that Americans have when navigating the healthcare system, according to a new KFF poll. About 32% of those polled said prior authorization requirements are a 'major burden.' That figure surpassed those who cited, as major burdens, understanding their bill or what they owe (23%), getting appointments when they need them (20%), or finding providers who accept their insurance (17%), according to KFF, a source for health policy research, polling and news. About 1 in 5 of all adults with insurance said that their mental or physical health, or finances, have been majorly impacted by denials, delays or alterations in care caused by prior authorization requirements. 'The complexity of the health system drives patients crazy, can have real consequences, and disproportionately affects people who are sick,' KFF President and CEO Drew Altman said. 'Prior authorization review is the poster child for that complexity.' Prior authorization requires a physician or caregiver to obtain approval from a patient's health insurance plan before health care services or prescription drugs are provided, according to the National Association of Insurance Commissioners.
In a social media landscape shaped by hashtags, algorithms, and viral posts, nurse leaders must decide: Will they let the narrative spiral, or can they adapt and join the conversation?
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