Many of us remember when a dermatology practice was cash only, and $5 cash was considered appropriate for a specialist. The general practitioner received $2 for an office visit and $4 for a home call. If you recall those days, “dearie you are much older than I.” 1
Not so long ago, the practitioner was confronted with obtaining a referral from the Health Maintenance Organization (HMO) in order to see the patient. Some plans permitted only four such referrals for specialists, annually, so the patient, who might have had a visit or two for gastritis and a similar number of visits for an eye infection, was just out of luck if poison ivy appeared on the scene. 2
Recommended CitationParish, Lawrence Charles; Parish, Jennifer L.; Lambert, W. Clark; and Ciferni, Carmela, "The Practice of Dermatology Ain't What It Used To Be: The Preauthorization Catastrophe." (2019). Department of Dermatology and Cutaneous Biology Faculty Papers. Paper 116.