2020
DOI: 10.1016/j.ijrobp.2020.07.2490
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Prior Authorization for Three-Dimensional Versus Intensity-Modulated Radiotherapy Comparison Plans May Delay Treatment

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“…In many instances, treating patients who have private insurance using IMRT requires prior-authorization, which can increase patient stress, delay treatment start, limit available physician time for direct patient care, and increase workload on departmental support staff. 16,17 Our analysis demonstrated that patients with Medicare and Medicaid insurance were more likely to receive IMRT for certain cancers than those with private insurance, perhaps due to challenges with prior authorization. Potentially modifiable factors warranting further investigation-e.g., inequitable denial of IMRT by insurance companies-were not ascertained in our data set yet could drive differences in IMRT .…”
Section: Discussionmentioning
confidence: 92%
“…In many instances, treating patients who have private insurance using IMRT requires prior-authorization, which can increase patient stress, delay treatment start, limit available physician time for direct patient care, and increase workload on departmental support staff. 16,17 Our analysis demonstrated that patients with Medicare and Medicaid insurance were more likely to receive IMRT for certain cancers than those with private insurance, perhaps due to challenges with prior authorization. Potentially modifiable factors warranting further investigation-e.g., inequitable denial of IMRT by insurance companies-were not ascertained in our data set yet could drive differences in IMRT .…”
Section: Discussionmentioning
confidence: 92%