call us312-335-9470

200 West Adams, Suite 2475, Chicago, IL 60606

Subscribe to this list via RSS Blog posts tagged in Chicago medical license defense lawyer

telehealth challengesAlthough telehealth/e-visits were legitimate options prior to the Covid-19 pandemic, most patients and professionals opted for in-person meetings. Since March 2020, the prevalence of telehealth appointments has skyrocketed, and in some places, it is the only option to get care from a medical professional. With this widespread adoption of a completely different way of seeing patients, there have certainly been challenges, and one that affects a variety of medical professionals.

Difficulty in Connecting with Patients

It’s an unavoidable fact that having a barrier of technology prevents the connections that normally occur in a professional-patient relationship. Treating and diagnosing a patient via phone or video removes the ability to physically connect, and for many, the “connection” that exists in telehealth appointments is superficial. It is also less personable and can feel like a negative, unfulfilling experience for all parties. Telehealth appointments are sometimes considered to be less valid because they are believed to rely on informed guesses rather than close physical examination of the possible medical issue. This does not apply for all appointments, certainly, but many patients wonder how a medical professional could diagnose a broken bone, for example, without examining it in person. This can make a patient less likely to schedule an appointment if they feel the care they receive is less valid through phone or video.

...

Third-party payer interferenceWhen seeking out medical treatment, the most important relationship that arises is between the doctor and the patient. One of the main problems threatening that relationship is third-party payer interference. Third-party payers have seen a rising power in the exam room over the actual doctors treating patients. While the medical field has sought to empower patients in making their own medical decisions, third-parties are interfering with this ability. How have third-party payers acquired such influence?

Even though doctors are taught to recognize the patient as top priority, third-party insurers make the ultimate determination related to patient access to treatments and medications doctors have recommended, not only to improve patient health, but to save their lives. As unfathomable as it may seem, it is fairly common practice for patients to be denied the treatments their doctors have described. Patients are often unaware that when insurers deny this access, they can appeal the decision and fight to receive the treatment their doctors recommended. However, obstacles to overturning the insurers’ denial, even if patients are aware of this option, often scare off patients from pursuing claims.

As frustrating as denial is on the patient side, it likewise hinders a doctor’s ability to most effectively treat their patients. It is generally unethical to deny a patient treatment, especially if other treatments have proven ineffective. Yet, doctors are required to jump through third-party insurers’ hoops to eventually provide the treatment they recommended in the first place. For instance, certain types of therapy treatment require that a patient must first fail on a less expensive medication, even if it is likely to be less effective. Doctors also find themselves caught up in a situation where patients must independently prove they require the treatment or medication recommended by a doctor. Patients must demonstrate this through a doctor using certain diagnostic procedures or lab studies in coming to a conclusion regarding treatment.

...
Back to Top