The trends orthopedics must leave behind to move forward

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Prior authorizations for medical care, violence against healthcare workers and declining reimbursements are all trends that one orthopedic surgeon believes should be left behind. 

David Buchalter, MD, an orthopedic surgeon at the Centers for Advanced Orthopaedics in Bethesda, Md., connected with Becker's to answer, "What healthcare trend are you hoping disappears in 2024?"

Editor's note: This response has been lightly edited for length and clarity.

Dr. Buchalter: Several trends should be left behind as we move further into 2024. One trend that I would like to see disappear is the trend toward insurance prior authorization for medical care. Whether it's for physical therapy, MRI scans, or surgeries, it has become increasingly common for insurance companies to restrict their members from receiving the care recommended by their doctors. This often results in patients having to endure prolonged wait times for surgeries or tests, and they may even face unjust denials, leading to unnecessary hurdles and additional time and expenses. It is disappointing that insurance companies lack trust in physicians' decision-making for their patients. 

Another unfortunate trend that requires urgent attention is the escalating violence against physicians and healthcare workers. Attacks on healthcare professionals have become an all too frequent occurrence in the workplace, and this disturbing trend must be halted. 

Lastly, the trend of declining reimbursement, particularly in Medicare reimbursement, poses a threat to care access for Medicare beneficiaries. The challenge of maintaining financial viability becomes more difficult with diminishing reimbursements each year, while the overall costs continue to rise. This trend jeopardizes the ability to provide quality care. By eliminating these trends in 2024, we can foster a safer work environment for all and provide better access to care for our patients. 

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