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?