Stuff They Don't Want You To Know The Prior Authorizations Conspiracy: EviCore
Apr 9, 2025
Explore the controversial world of prior authorization in U.S. healthcare, where insurers often deny vital treatments. Discover the role of EviCore and its impact on patient care, as the discussion reveals the profit-driven motives of healthcare corporations. Dive into the frustrations patients face with insurance denials and the burdens of medical debt. The episode also critiques automated decision-making processes, highlighting ethical dilemmas and the urgent need for reform in an often predatory system.
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Prior Authorization Concerns
- In the U.S., private health insurers use "prior authorization" to control medical treatments.
- This practice raises concerns about cost-effectiveness outweighing patient well-being.
Prior Authorization Explained
- Prior authorization involves a medical professional confirming a procedure's necessity.
- Insurance plans often specify coverage for medically necessary procedures, making this term crucial.
Prior Authorization Goals
- Prior authorization aims to ensure cost-effectiveness and appropriate coverage.
- A standardized healthcare plan could potentially simplify this process.