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Cancer Care Denied: Insurance Delays Risk Lives

Summary

  • Prior authorization delays can lead to death, say doctors.
  • One in ten cancer patients face initial claim denial.
  • Doctors spend significant time battling insurers for care.
Cancer Care Denied: Insurance Delays Risk Lives

The US health insurance system is facing severe criticism from cancer patients, oncologists, and advocates for its role in delaying and denying life-saving treatments. Processes like prior authorization, intended as cost-control measures, are increasingly cited as detrimental, with some physicians reporting patient deaths linked to these delays. This has created significant anxiety and hardship for individuals battling aggressive cancers.

Patients like Rachael Proffitt and Amy Logan shared harrowing experiences of fighting their insurers for necessary chemotherapy and radiation therapy. Despite ultimately receiving approval, the arduous appeals process caused immense stress and emotional distress during critical treatment periods. Oncologists emphasize that timely treatment is crucial for positive outcomes, and delays can significantly worsen a patient's prognosis, potentially shifting a curable cancer to an incurable one.

Doctors are burdened with extensive administrative work to secure patient care, spending countless hours appealing denials for scans and treatments. Rising healthcare costs are driving insurers to implement utilization management tactics, which critics argue are merely delay tactics that inefficiently consume resources from patients and providers. Advocacy groups are calling for urgent federal reform, as current solutions are insufficient to address the growing crisis in cancer care access.

Disclaimer: This story has been auto-aggregated and auto-summarised by a computer program. This story has not been edited or created by the Feedzop team.
Prior authorization is a cost-control measure where insurance companies must approve treatments before they can begin, often causing delays.
Delays cause significant stress, anxiety, and can negatively impact treatment effectiveness and patient survival rates.
Yes, many oncologists report an increasing burden of administrative tasks and appeals for necessary patient care.

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