Rated on how slowly the insurer approved a medication, not on my care
This account was submitted by a healthcare provider and de-identified before publication. Details that could identify a patient or practice have been removed, and it is shared with the provider’s consent.
The complaint was entirely about how long it took to get a medication prior authorization approved, a process controlled start to finish by the insurer, yet it was posted as a one star judgment of my competence as a physician.
Endocrine care often means slow, grinding insurance battles that I fight on the patient's behalf, frequently sending appeals and peer to peer calls that the patient never sees, and I could not detail that back and forth publicly without exposing the patient's plan and medication history. The clinical care was appropriate and the coverage system was not, and the review could not tell them apart.
So the frustration of a broken insurance system landed squarely on my name. Patients sometimes cite the review when they call, and I gently explain that I do not control insurers, which is true and also not reassuring.
I had my staff document the authorization timeline for our own records, a small act of self-defense that changes nothing online.