08/04/2025
warning: Rant evolving. see pic below. The audacity of that question on a prior authorization website is making me want to scream.
THIS is my life.
I love love love what I do overall. I am a nurse and a provider. For over 30 years I have worked in this broken de-evolving rate race of a healthcare system we cling to in our country. The screenshot below is a typical Monday view for me: CoverMyMeds is one of several websites I must use to try to gain approval for patient medications. I am so tired of patients not understanding the non-reimbursable time pharmacists and providers put in trying to get the medications for patients and then at an affordable rate. It often takes multiple interactions with this or other website, then appeals and note uploading to get a med covered. I sometimes have to reach out to a "coverage support person" at the drug company to help me with denials. I sometimes get a notice of new PA required multiple times a day. What insurance pays me for is seeing the patient. I get no payment for the administrative hell I endure between appts and on days off in order to get patients the meds and the tests they need and to document EVERYTHING in the hopes I won't lose a lawsuit someday. OUR SYSTEM is broken. People tell me they won't vote to end privatization of healthcare because it will lead to rationing. ARE YOU KIDDIN ME? We already have rationing through this ridiculous and inequitable system. There are better ways to take care of our citizens. Let's talk about it, vote for it and make it happen.
