u/RealisticSea1445

Prior authorization has turned primary care into a paperwork specialty

I swear I spent more of this week fighting prior authorization requests than actually seeing patients. I wrote a refill my patient has been stable on for two years, and the insurer kicked it back demanding I make her 'try and fail' something cheaper first. Then I'm sitting on hold for 40 minutes for a peer-to-peer with someone who isn't even in primary care, defending a decision that was obvious to anyone who's met the patient. It's gotten to where prior authorization is the actual job and medicine is the side gig I squeeze in between the paperwork. Is everyone else just drowning in this too, or has anyone found a way to keep it from eating the whole day?

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u/RealisticSea1445 — 4 days ago

hit the wall where my battery mower just isnt enough mower for the lot. went back to gas

[north texas, zone 8a] half venting, half asking.

ive run a ryobi 40v for a couple years now, entry model with one battery. and look, if you have a small flat lawn id honestly still tell you a basic battery mower is plenty. theyre genuinely fine for that.

my lot is not that. its a little over half an acre and the back section grows thick and fast in this heat. by the end of last summer the 40v was straight up bogging in the thick stuff, you hear it drop rpm and then it just stops cutting, packs wet grass up under the deck and i have to kill it and pull the clog out by hand. on a lot this size one charge doesnt cover it anymore either, and a battery big enough to actually help isnt cheap.

so im looking at sinking real money into a mower that was already underpowered for my yard, and these packs are a wear item, so id be back here doing it again before long. on a lawn that actually works the motor, the battery math just falls apart.

caved and went back to gas this weekend. the quiet and no fumes was nice while it lasted, im just done paying the battery tax on a yard this size.

anyone else hit that wall? curious whether it was lawn size or grass type that pushed you off battery

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u/RealisticSea1445 — 2 months ago