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What I'm going to talk about today is prior authorizations that everybody loves to do basically is a big pain in the butt, and it's a waste of our time it really has no patient benefit, and I'll show you a court case that actually delineate that kind of clearly, and ultimately it only involves in helping the insurance company to lower their bottom line we all get prior authorizations as part of our life I like doing face to face visits for home health and doing face for hospice, so that's just part of it, but I get tired of meetings when you go to the meetings, and they say well we just have to let the political system play out, and I used to ask questions and what can I do as a physician an individual what can I do what advice can you give me, and they really couldn't give me anything that I could do, so that's why I like to try to do today goals here basically is to eliminate prior authorizations and I can dream, or you can lease reduce them significantly I also want introduced a concept and plan to see that you can build for this activity how many people have ever built for a prior authorization yeah one excellent two I started — about a year Agassi'm going to give you some techniques this one of the board members here said it was like solid Minsky I'm not really going by that playbook, but it's actually the same results I want to gum up the works I want to make it so unprofitable and such a pain in the butt that they don't want to deal with zydeco I want them to remember my name and I think I'm actually succeeded imagine your practices you always have that one difficult patient or difficult family imagine and everybody pictures net person in your mind right now coming into your office and how they gum up the works that's just a nightmare that's what I want to be to the insurance companies, and eventually I'll make it worth their while yeah absolutely yeah I mean it that's I want to be a big pain in the butt as I've gotten older I'm closer to death in birth and I really get I take it personally when someone wastes my time not of mind being time being wasted a little but when I'm wasted my time is wasted to profit an organization especially an insurance company I got a problem with that, so this is the same place I want to be insurance companies, so I have to start out with some definitions real briefly, and I'm going to fly through these slides it takes about 14 minutes, so I won't waste your time but basically insurance company is a business and businesses in this country is still this silly United States they were designed to make a profit I have no problem with that the primary function of insurance company life disability car now practice is ultimately to accept risk for a fee and that's great I mean I love insurance I mean you can't live without in this country, but the insurance company does not provide medical care period they however I have more if all the other insurance companies still do basically that and health insurance is...
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