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Feds Move to Rein In Prior Authorization, a System That Harms and Frustrates Patients
When Paula Chestnut desired hip substitute surgical treatment previous year, a pre-operative X-ray observed irregularities in her chest. As a smoker for 40 many years, Chestnut was at superior hazard for lung most cancers. A expert in Los Angeles proposed the 67-year-old undergo an MRI, a substantial-resolution picture that could aid spot the illness. But her MRI appointment retained finding canceled, Chestnut’s son, Jaron Roux, informed KHN. Initially, it was scheduled at the improper healthcare facility. Next, the service provider was not obtainable. The greatest roadblock she faced, Roux reported, arrived when Chestnut’s wellbeing insurance company considered the MRI medically unwanted and would not authorize the go to. “On at…