A recent Intelliworx survey reveals that healthcare providers are increasingly frustrated by insurance companies that override medical decisions, with 74% reporting that insurers decline to cover prescribed treatments at least occasionally. Over a third say it happens frequently. Nearly half of respondents said the time and effort required to gain coverage is too demanding, and 20% expressed strong dissatisfaction with the process. While some providers feel supported by their employers, half believe more could be done to ease the burden of dealing with insurance demands. Alarmingly, nearly 4 in 10 have considered leaving the profession due to these mounting pressures. Read the full article here: The Burden of Treatment Denials on Health Care Providers [Healthcare Innovation]

Healthcare providers are increasingly burdened by insurance treatment denials, which delay patient care and fuel administrative overload. From time-consuming appeals to unclear approval criteria, physicians face growing frustration and burnout, all while patient trust and outcomes hang in the balance. Many are now calling for policy reform and greater transparency from payers to ease the strain and refocus on care delivery. Read the full article here: The Burden of Treatment Denials on Health Care Providers (Medical Economics)

A growing body of data articulates the frustration healthcare providers have with payers over the growing complications caused by claim denials and prior authorizations by Intelliworx Some 44% of healthcare providers have considered leaving their position as a result of the claim denials. That’s according to a still new survey of 211 U.S.-based healthcare providers we recently published (downloadable PDF version here).  Unfortunately, our survey is not an isolated example. Over the last 12 months or so, several other studies have drawn similar conclusions and three of those studies follow below.  1. Providers are “caught in the middle” as denials increase  Nearly three quarters (73%) of respondents surveyed by Experian Health said “claim denials are increasing.” More astonishingly, the number jumped dramatically from 42% when compared to the same survey the company fielded two years prior.   Even when claims are approved, providers aren’t done as 67% say payers are taking […]

In their own words, providers say health insurance companies deny treatments they’ve prescribed to patients too often – here’s what they would change if they could by Intelliworx More than 4 in 10 healthcare providers surveyed have considered quitting their jobs over the burden insurance sometimes places on their daily work. That’s according to a survey of providers we commissioned and published last month. The findings characterized the frustration providers have with payers over claim denials. It’s a concerning statistic given the prolonged shortage of providers that continues to challenge the healthcare community: “Given the persistent and prolonged shortage of healthcare talent, this could be an opportunity for savvy employers to stand out among rivals,” said Patrick Youngblood, DBA, SPHR. “Those who are willing and able to find creative solutions to ease the strain providers face in complying with payer demands could be a boost to provider recruiting and retention.” While we offered several suggestions […]