David Balat

This is happening more than people realize. A woman fighting breast cancer showed up for surgery today…fresh off of chemo, port in place, nothing to eat or drink, mentally preparing for the thing no one can ever truly be ready for. And then we canceled. Not because she didn’t need surgery. Not because it wasn’t medically necessary. But because the hospital said they won’t get paid without prior authorization. This is the system we’ve learned to work inside, one that denies and delays care for administrative reasons. A system where responsibility is spread everywhere and nowhere at the same time. Where having insurance doesn’t guarantee you’ll get the care you need. Where paperwork can matter more than a patient sitting in a hospital bed. Prior authorization reform may be announced, but on the front lines, it’s not what we’re seeing. Today, a cancer surgery was canceled because the system is designed to protect payment…not people.

Trump: "We're also slashing drug prices at record levels, with price differences of 700 percent. Can you believe it?"

Price transparency is not an actual health care solution. Don’t get me wrong, I’m all for price transparency. But when people need health care, price is rarely their only priority. Quality matters. And the price itself varies wildly depending on your employer and insurance plan.

Want to know the craziest part about insurance company Pre Authorization Denials ? The insurance company defines the network of providers the patient can use When they deny care, they are effectively saying "we don't trust the judgement of the doctors we require you to use" 🤯🤯🤯