The Itch: Allergies, Asthma, Eczema & Immunology

#89 - Health Insurance 101 for Doctors: Navigating Claims and Coverage


Listen Later

Are you frustrated by the health insurance approval process for medication? 

Many patients may not know what their doctors are doing behind the scenes when dealing with health insurance, and many doctors may feel overwhelmed by this process. There is a silver lining! Tools exist to help patients and providers better navigate the complexities of health insurance.

Elizabeth Johnson joins Dr. G and Kortney to share her expertise on overcoming the hurdles of securing medication approvals. She explains the biggest challenges healthcare providers face when working with insurance companies. She offers practical tips to navigate the approval process more efficiently.

Together with Dr. G, they discuss the lack of health insurance education for providers and the burden this places on medical staff. They also explore available resources and tools for healthcare professionals and stress the importance of incorporating insurance education early in medical training.

What we cover in our episode about health insurance from the provider’s side:
  • Provider Challenges: Elizabeth explains the common hurdles doctors face in securing medication approvals, from paperwork to insurance denials.
  • Navigating Insurance Companies: We explore the complexities of insurance approvals, from prior authorizations to the importance of good note-taking.
  • NAMAPA Toolkit: Elizabeth introduces the NAMAPA toolkit, designed to assist healthcare providers in navigating all aspects of health insurance.
  • Insurance Education: We highlight the need for insurance education during med school, residency and fellowship.
  • Health Insurance Resources: Elizabeth shares strategies to ensure healthcare professionals have the tools to handle medication approvals and the resources available from pharmaceutical companies.
  • More resources: 

    • Medication Access Coordinator Training From NAMAPA
  • Health Insurance Coverage in the United States
  • Why was my prescription denied by insurance?
  • Health Insurance for Asthma and Allergies
  • Choosing the Right Health Insurance Plan
  • Navigating Insurance Denials and Filing Appeals
  • NAMAPA: National Association for Medication Access and Patient Advocacy
  • Medication Access Network
  • MedicoCX
  • ...more
    View all episodesView all episodes
    Download on the App Store

    The Itch: Allergies, Asthma, Eczema & ImmunologyBy The Itch: Allergies, Asthma & Immunology

    • 4.3
    • 4.3
    • 4.3
    • 4.3
    • 4.3

    4.3

    86 ratings


    More shows like The Itch: Allergies, Asthma, Eczema & Immunology

    View all
    Real Time with Bill Maher by HBO Podcasts

    Real Time with Bill Maher

    16,391 Listeners

    The Curbsiders Internal Medicine Podcast by The Curbsiders Internal Medicine Podcast

    The Curbsiders Internal Medicine Podcast

    3,336 Listeners

    The Daily by The New York Times

    The Daily

    111,917 Listeners

    Up First from NPR by NPR

    Up First from NPR

    56,231 Listeners

    Where Should We Begin? with Esther Perel by Esther Perel Global Media

    Where Should We Begin? with Esther Perel

    14,849 Listeners

    Core IM | Internal Medicine Podcast by Core IM Team

    Core IM | Internal Medicine Podcast

    1,095 Listeners

    The Dr. Hyman Show by Dr. Mark Hyman

    The Dr. Hyman Show

    9,367 Listeners

    The Peter Attia Drive by Peter Attia, MD

    The Peter Attia Drive

    7,953 Listeners

    AAAAI Podcast: Conversations from the World of Allergy by The American Academy of Allergy, Asthma & Immunology (AAAAI)

    AAAAI Podcast: Conversations from the World of Allergy

    47 Listeners

    On Purpose with Jay Shetty by iHeartPodcasts

    On Purpose with Jay Shetty

    27,238 Listeners

    AMA Update by American Medical Association

    AMA Update

    100 Listeners

    Huberman Lab by Scicomm Media

    Huberman Lab

    28,494 Listeners

    ZOE Science & Nutrition by ZOE

    ZOE Science & Nutrition

    2,026 Listeners

    The Mel Robbins Podcast by Mel Robbins

    The Mel Robbins Podcast

    20,604 Listeners

    The Jefferson Fisher Podcast by Civility Media

    The Jefferson Fisher Podcast

    8,054 Listeners