Tags: insurance | healthcare | prescriptions

Changes Needed in Medical System

By Friday, 24 February 2017 04:20 PM Current | Bio | Archive

Recently I had several who patients had a problem getting their insurance programs to pay for the brand name medication that they have been prescribed.

Instead, they were given a generic drug, which was supposed to be the equivalent of the name brand. But from my experience many of these patients have poor results with the generic brand and increased incidence of side effects from the generic brand.

This problem causes significant waste of physician’s time trying to get the pharmacist to issue the brand name of the drug rather than the generic versions that are approved by the insurance companies because of the lower cost of the most generics in comparison to the brand name.

To me, the insurance companies tend to control the provision of medical services rather than the physicians who prescribe the drug.

This type of problem is ongoing and we are also running into an increasing number of cases where prior to imaging procedures the procedure has to be preapproved by the insurance company before they will pay for the study.

The inability to have a patience get a brand name drug that has worked well for them for many years because a generic has now become available and is cheaper is to me poor medical care.

Something needs to be done so that we can control the costs of drugs.

A good example is the epipen for allergic reactions. The epipen used to cost about $10; now two epipens cost $400.

These are costs that should be controlled by our medical system and should not permit non-physicians to make decision that effect medical care.

With the revisions that are anticipated in medical insurance and changes in Obamacare by replacing it with another system, these are all factors that need significant input into the new systems to make it the best for all of the patients.

I strongly suggest that you contact your congressmen and senators about these problems of the insurance company deciding whether the patient should have a brand name or a generic product which is frequently not as effective and has more side effects, based on my experience.

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To me, the insurance companies tend to control the provision of medical services rather than the physicians who prescribe the drug.
insurance, healthcare, prescriptions
Friday, 24 February 2017 04:20 PM
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