Bowel Sounds: The Pediatric GI Podcast

Matthew Giefer and Brad Pasternak - Tackling Prior Authorizations and Medication Approval

NASPGHAN Season 5 Episode 13

In this episode,  Temara Hajjat and Jenn Lee interview Dr. Matthew Giefer and Dr. Brad Pasternak. Drs. Giefer and Pasternak share their experience advocating for the approval of medications for their patients. The discussion also covers the challenges involved in medication approval, how to approach your local and state representatives, and lobbying in Washington, D.C.

Dr. Giefer is a pediatric gastroenterologist at Ochsner Children’s in New Orleans, Louisiana, specializing in advanced endoscopy and pancreatology, and Dr. Pasternak is a pediatric gastroenterologist and the Medical Director of the IBD program at Phoenix Children's in Phoenix, Arizona. 

Learning Objectives:

  1. Understand how to advocate for medication approval after they are denied by the insurance. 
  2. Understand the resources available to tackle prior authorizations and denials. 
  3. Recognize the importance of advocating and speaking up against insurance denials. 

Support the show

This episode may be eligible for CME credit! Once you have listened to the episode, click this link to claim your credit. Credit is available to NASPGHAN members (if you are not a member, you should probably sign up). And thank you to the NASPGHAN Professional Education Committee for their review!

As always, the discussion, views, and recommendations in this podcast are the sole responsibility of the hosts and guests and are subject to change over time with advances in the field.

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