The Economics of Health Insurance: Denials, Pre-Authorizations, and Cost Control
The Pie: An Economics Podcast
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Navigating Health Insurance Complexities
This chapter examines the challenges surrounding health insurance billing, particularly the burdens placed on doctors by Medicaid's bureaucratic processes. It highlights how claim denials and prior authorization impact patient access to necessary medications and healthcare services, especially for low-income individuals. Additionally, the discussion covers the implications of Medicare's waste reduction programs and how they influence hospital admissions and practices.
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