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An Arm and a Leg: The Prescription Drug Playbook, Part I

Physician's Weekly

In this first installment of a two-part series, “An Arm and a Leg” shares lessons from Bob’s experience navigating a maze of pharmacies and insurance companies to get his daughter the medicine she needs. Bob’s journey here begins in 2019 — the first day of high school for his daughter, Mary. That happens a lot.

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PC for Patients with Substance Use Disorder: Janet Ho, Sach Kale, Julie Childers

GeriPal

I see this in the hospital when I’m doing addiction medicine consults. But back in 2019, there was a lot of disagreement in our group about whether for a patient with cancer and cancer related pain and a substance use disorder, whether palliative care was the appropriate specialty to care for those patients.

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Stories We Tell Each Other to Heal: Ricky Leiter, Alexis Drutchas, & Emily Silverman

GeriPal

His lymphoma had relapsed, and palliative care was consulted to help with his symptoms. It was all covered by my mom’s insurance. It was late on a Friday afternoon in December 2019. The contrast between this view and the drab hospital walls as I walked into my patient’s room was jarring. I’ll call my patient.

IT 107
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The Promise and Pitfalls of AI in Medicine: Guest Bob Wachter

GeriPal

Alex: In 2019 … You wrote two viewpoints about AI recently in JAMA, relatively recently. I guess, 2019, and then, one again about last month or so. maybe eight or 10 months ago, “Please write a prior authorization to the insurance company. And then, this little mini consultant. Eric: Yeah. Eric: Yeah.

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‘Not Accountable to Anyone’: As Insurers Issue Denials, Some Patients Run Out of Options

Physician's Weekly

But that’s when his family began fighting another adversary: their health insurer, which decided the treatment was “not medically necessary,” according to insurance paperwork. Health insurers issue millions of denials every year. “They’re, like, not accountable to anyone.” Senate report.