Dr. Amanda North

I've been working with Brad for at least 10 years on these types of issues. And the one phone call that I make before we finalize the census questions is to make sure that Brad's team is has the data they need for the work they do in Washington DC on behalf of all practicing urologists. And telehealth and prior auth are two topics that they really advocated for us to put on the census this year.

The prior auth questions came straight from Brad's team, word for word, based on some of their meetings with some of the other medical specialty groups with the kinds of questions they've been asking their members. And so just another plug for people to fill out the census. This data goes to Congress. period, hard stop.

The prior auth questions came straight from Brad's team, word for word, based on some of their meetings with some of the other medical specialty groups with the kinds of questions they've been asking their members. And so just another plug for people to fill out the census. This data goes to Congress. period, hard stop.

The prior auth questions came straight from Brad's team, word for word, based on some of their meetings with some of the other medical specialty groups with the kinds of questions they've been asking their members. And so just another plug for people to fill out the census. This data goes to Congress. period, hard stop.

This is the data that the AUA needs to fight for things that are gonna make our practice lives better. Lawyers get paid hundreds of dollars for a 10 minute phone call with a client and they wanna take away any payment for a telephone only telehealth visit that we're doing because our patients don't have access to the technology to do it on video, really? I don't understand that at all.

This is the data that the AUA needs to fight for things that are gonna make our practice lives better. Lawyers get paid hundreds of dollars for a 10 minute phone call with a client and they wanna take away any payment for a telephone only telehealth visit that we're doing because our patients don't have access to the technology to do it on video, really? I don't understand that at all.

This is the data that the AUA needs to fight for things that are gonna make our practice lives better. Lawyers get paid hundreds of dollars for a 10 minute phone call with a client and they wanna take away any payment for a telephone only telehealth visit that we're doing because our patients don't have access to the technology to do it on video, really? I don't understand that at all.

And so if you don't fill out these questions, we don't have the data that we need to go to Congress. And so with prior auth, the data is appalling. Over half of urologists said that prior auth at least moderately affects clinical outcomes. More than a third said severely. Peer-to-peer consultation is almost never with a urologist. I personally have never spoken to a urologist in a peer-to-peer.

And so if you don't fill out these questions, we don't have the data that we need to go to Congress. And so with prior auth, the data is appalling. Over half of urologists said that prior auth at least moderately affects clinical outcomes. More than a third said severely. Peer-to-peer consultation is almost never with a urologist. I personally have never spoken to a urologist in a peer-to-peer.

And so if you don't fill out these questions, we don't have the data that we need to go to Congress. And so with prior auth, the data is appalling. Over half of urologists said that prior auth at least moderately affects clinical outcomes. More than a third said severely. Peer-to-peer consultation is almost never with a urologist. I personally have never spoken to a urologist in a peer-to-peer.

And half of urologists are doing more than 10 prior auths in a typical week. This is a huge waste of everyone's time. It's bad for patient care. It is bad for patient care. It is bad for patient care. And if you spend any time on social media listening to patients deal with prior aughts from their end, it is horrific.

And half of urologists are doing more than 10 prior auths in a typical week. This is a huge waste of everyone's time. It's bad for patient care. It is bad for patient care. It is bad for patient care. And if you spend any time on social media listening to patients deal with prior aughts from their end, it is horrific.

And half of urologists are doing more than 10 prior auths in a typical week. This is a huge waste of everyone's time. It's bad for patient care. It is bad for patient care. It is bad for patient care. And if you spend any time on social media listening to patients deal with prior aughts from their end, it is horrific.

And so, again, this data is super important to our advocacy team because this is what they use to go to CMS. And I've attended meetings with CMS where we talked about prior auth. And I'm talking about five years ago before COVID. I was invited to some of those meetings. Prior auth is a huge burden on everyone in the health care system except the insurance companies who want to gatekeep.

And so, again, this data is super important to our advocacy team because this is what they use to go to CMS. And I've attended meetings with CMS where we talked about prior auth. And I'm talking about five years ago before COVID. I was invited to some of those meetings. Prior auth is a huge burden on everyone in the health care system except the insurance companies who want to gatekeep.

And so, again, this data is super important to our advocacy team because this is what they use to go to CMS. And I've attended meetings with CMS where we talked about prior auth. And I'm talking about five years ago before COVID. I was invited to some of those meetings. Prior auth is a huge burden on everyone in the health care system except the insurance companies who want to gatekeep.

And when the insurance companies are making millions of dollars and urologists are taking salary cuts – Something is wrong, right? Our patients should not be paying the price for this. And again, this data comes from all of you filling out the AUA census.

And when the insurance companies are making millions of dollars and urologists are taking salary cuts – Something is wrong, right? Our patients should not be paying the price for this. And again, this data comes from all of you filling out the AUA census.

And when the insurance companies are making millions of dollars and urologists are taking salary cuts – Something is wrong, right? Our patients should not be paying the price for this. And again, this data comes from all of you filling out the AUA census.

Well, we found, and as a caveat, we have asked the Maslach Burnout Inventory on the census. We ask every five years. So it was asked in 2016 and 2021. This was a quick question, are you experiencing burnout? So that we could then assess some of the factors associated with burnout, which was really the point of the burnout questions on this census.