Picture this: You need a crucial medication approval from your neurologist, and time isn’t on your side. You pick up the phone, hoping for a quick resolution, but instead, you’re met with a friendly voice from a customer service team based in the Philippines. Sounds efficient, right? Only, this team can’t make any decisions—they just pass messages along. It’s like playing telephone!

This particular neurology practice has adopted a system that, at first glance, appears to protect provider time and cut costs. But in reality, it creates a frustrating barrier for patients and plan administrators… and doctors!  Whose time this is trying to protect! With this practice, you can’t talk to the actual office staff who understands the treatment plan. Instead, messages are relayed from afar, often resulting in stalled approvals and delayed treatments. The practice once ignored a new request, hung up on an old denial—and nothing moved. It wasn’t malice; it was a system designed to keep patients at bay.

Let’s talk about why this matters to you.

As an employer, the health of your employees directly impacts your business. So, when selecting healthcare plans, you must ensure they offer more than cost savings. Ask the hard questions: Can employees and administrators reach their providers directly? Is there a local, accountable support system? For those facing complex health issues, this isn’t a luxury—it’s a necessity.

In today’s complex healthcare landscape, the ability to communicate directly with those who can make informed decisions is invaluable. It’s not just about efficiency; it’s about compassion and effectiveness. The story of the neurology practice isn’t just a cautionary tale—it’s a call to action for employers to prioritize direct access in healthcare plans. When lives are at stake, every second counts.

ABOUT THE AUTHOR

Allison De Paoli

Allison De Paoli has been solving the healthcare crisis for employers who were sure there was nothing they could do to control their costs or make it a better experience for employees.

She co-authored the Amazon Best-Seller Breaking Through the Status Quo: How Innovative Companies are Changing the Benefits Game to Help Their Employees and Boost Their Bottom Line. And, she was recently recognized as a 2019 Top Women in Advising by BenefitsPro Magazine.

Download Instant EBITDA.

Instant EBITDA arms you with the same questions I use to diagnose plans with 100–500 employees. It helps you:

  • See what’s missing
  • Pressure-test your broker and vendors
  • Spot where money is leaking out
  • Understand what “good” looks like