Commentary

More on the travesty of pre-authorization


 

I read with interest Dr. Nasrallah’s editorials “We are physicians, not providers, and we treat patients, not clients!” (From the Editor, Current Psychiatry. February 2020, p. 5,10-11) and “Pre-authorization is illegal, unethical, and adversely disrupts patient care.” I can’t help but link the 2 editorials together.

Dr. Nasrallah’s strong advocacy against the use of the term “provider” is long overdue. I distinctly remember the insidious onset of the use of the terms provider and “consumer” during my years as a medical director of a mental health center. The inception of the provider/consumer terminology can be construed as striving for cultural correctness when psychiatry was going through its own identity crisis in response to deinstitutionalization and the destruction of the so-called myth of psychiatrists as paternalistic and all-powerful. Managed care as the business model of medicine further destroyed the perception of the psychiatric physician as noble and caring, and demythologized the physician–patient relationship. It is amazing how the term provider has persisted and become part of the language of medicine. During the last 20 years or so, psychiatric and medical professional organizations have done little to squash the usage of the term.

Furthermore, the concept of pre-authorization is not new to medicine, but has insidiously become part of the tasks of the psychiatric physician. It has morphed into more than having to obtain approval for using a branded medication over a cheaper generic alternative to having to obtain approval for the use of any medication that does not fall under the approved tier. Even antipsychotics (generally a protected class) have not been immune.

Both the use of the term provider and the concept of pre-authorization require more than the frustration and indignation of a clinical psychiatrist. It requires the determination of professional psychiatric organizations and those with power to fight the gradual but ever-deteriorating authority of medical practice and the role of the psychiatric physician.

Elizabeth A. Varas, MD
Private psychiatric practice
Westwood, New Jersey

Disclosure: The author reports no financial relationships with any companies whose products are mentioned in this article, or with manufacturers of competing products.

Pages

Recommended Reading

COVID-19 and the precipitous dismantlement of societal norms
MDedge Psychiatry
New-onset psychosis while being treated for coronavirus
MDedge Psychiatry
How to best use digital technology to help your patients
MDedge Psychiatry
Daily Recap: Transgender patients turn to DIY treatments; ACIP plans priority vaccine groups
MDedge Psychiatry
Skin patterns of COVID-19 vary widely
MDedge Psychiatry
Potential new biomarker for psychosis severity
MDedge Psychiatry
Many physicians live within their means and save, survey shows
MDedge Psychiatry
Phase 3 COVID-19 vaccine trials launching in July, expert says
MDedge Psychiatry
Managing pain expectations is key to enhanced recovery
MDedge Psychiatry
Daily Recap: Docs are good at saving money; SARS-CoV-2 vaccine trials advance
MDedge Psychiatry