Dr. Johnson expressed frustration that the physician from a patient's insurance company did not agree with Dr. Johnson's plan of care. Dr. Johnson noted that the insurance company's physician did not practice the same area of medicine as Dr. Johnson and felt this should disqualify the insurance company's physician from acting as a _________________________. In Dr. Johnson's opinion, the insurance company's physician was unable to understand the rationale for Dr. Johnson's plan of care.

Question

Quizplus · Accepted Answer

Dr. Johnson's frustration stems from the insurance company's physician acting as a gatekeeper, a role in which they determine the necessity and appropriateness of a plan of care, despite not practicing in the same area of medicine as Dr. Johnson. This discrepancy in specialization is why Dr. Johnson feels the insurance physician is unqualified to evaluate his plan of care accurately.

Dr Johnson Expressed Frustration That the Physician from a Patient's