Prior authorization and a $2 billion fraud case
Next time someone wonders aloud why we need controls like prior authorization between providers and patients, give them $2 billion reasons.
The simple reason we as a country cannot and should not simply approve everything a provider requests is because there are bad actors who commit massive fraud.
Think about what $2 billion could do for struggling patients or rural hospitals.
Originally posted on LinkedIn, where the discussion and source links live in the comments.