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Prior authorization is not a one-time event. It's a process with a clock, a set of requirements you often can't see, and several places it can fall apart. The patient who follows up early and respectfully tends to get better outcomes. Hear's how you can work with your doctor's office to navigate this often frustrating process.

Navigating insurance coverage for knee gel injections takes patience, persistence, and a willingness to advocate for yourself. The process can feel overwhelming between prior authorizations, step therapy requirements, documentation demands, and the ever-present risk of denial. Understanding the landscape puts you in a far better position than going in blind. Work closely with your doctor's office, stay organized, ask questions, and don't take a denial as a final answer. If th

Vertical integration and consolidation in the healthcare industry results in higher healthcare costs for everyone.

Dealing with your health plan or health system’s customer service departments can be painful. Time wasted fixing mistakes and trying to get a straight answer can threaten your care and finances. Learn five strategies for making your experience more productive and less frustrating. This is the companion document to my YouTube video. Keep or save this for your use later.

Bariatric weight loss surgery has long been considered effective , so I was dismayed when I recently read about its relatively high denial rates If you or someone you know is on the path to bariatric weight loss surgery, then this post will help you plan, budget, and avoid problems. The key theme is effective management of the “long-game”; stay on top of the many steps during the months- and sometimes years- long process.

People often hate dealing with their health plans. I help them do just that for a living, so I see it up close. When I help clients on family plans, I often find that people overlook their plan role and permissions. Consider: You’re blocked from your teenager’s health information. You’re the family planner, but your insurer won’t let you complete an important task. You’re caregiving for an elderly parent or relative, but can’t access their critical information in a pinch. All