• Chapter 3: Identifying the Adversary in Healthcare

  • Nov 25 2024
  • Length: 21 mins
  • Podcast

Chapter 3: Identifying the Adversary in Healthcare

Listen for free

View show details

  • Summary

  • In this episode of UpMed, Dr. Erica Rowe Urquhart explores the challenges faced by private practice doctors in local communities, highlighting the adversarial role of insurance companies. Through a reflection on increasing patient costs, the concept of the 'other,' and administrative hurdles such as downcoding, prior authorizations, and retrospective audits, Dr. Urquhart reveals how insurance companies avoid paying providers and add to the administrative burden. This episode delves into the complex dynamics of the patient-provider-insurer triangle, examining how insurance practices impact patient care and the sustainability of community healthcare providers.

    EPISODE HIGHLIGHTS:

    • Identifying the Enemy in Healthcare: The Insurance Company

    • Insurance Companies' Strategies Against Providers

    • Challenges with Prior Authorization

    • Retrospective Audits and Payment Processing Issues

    • High Volume Scrutiny and Its Impact

    • The Adversarial Role of Insurance Companies

    • The Bleak Future of Community Doctors

    • Conclusion and Call to Action
    Show more Show less
Show more Show less
activate_Holiday_promo_in_buybox_DT_T2

What listeners say about Chapter 3: Identifying the Adversary in Healthcare

Average customer ratings

Reviews - Please select the tabs below to change the source of reviews.

Audible.com reviews

Amazon reviews
No Reviews are Available