As professionals in health and human services, we often encounter patients facing barriers related to insurance. Supporting them emotionally during this time is just as important as providing practical solutions. Here’s a simple approach to help: 1. Assess Emotional Needs: Listen actively, empathize with their frustrations, and acknowledge their stress. 2. Communicate: Identify what steps have already been taken. 3. Explore Options: Guide patients through work-based and/or state insurance, the marketplace, or low-income community health clinics. 4. Offer Ongoing Support: Break down the process into manageable steps, and remind them they are not alone. 5. Provide Resources & Follow-Up; Equip them with the tools they need.

We all know insurance barriers are frustrating and daunting. Provide that same understanding to your client/patient and empathize with their struggle and the very human aspects of dealing with difficult systems. Then, use your expertise as a case manager to start helping them navigate the problem. Doing this process with them will give them valuable insight into how to navigate the healthcare system and empowers them to self-advocate in the future.

Prior authorization. Have a case manager get authorization why the service is necessary. This would help the insurance see why the care is necessary for the patients plan of care.A case manager is an advocate for the patient t would decrease emergency visits and readmissions to hospitals. Medically trained nurses can speak for the patients and the insurance provider.

When dealing with insurance barriers, its important that your clients feel you have their back at all times. Somethings you won't be able to provide other than out-of-the-box solutions and alternatives as well as having a good clear communication channel with the insurance company. Many times, when there's a clear path as to treatment or palliative care or even a cost-effective approach to whatever is not covered, may open a back channel for negotiation and partial approval. In the end, terms and conditions are there for a reason, but all participants are still human and can be reasoned with

Treating a client with respect and dignity Active listening Show compassion Understanding the illness are not the sum of the person