Dr. Vince LeoneOwner, Consultant, Specialized Practice · Owner, Consultant at Specialized Practice

Insurance Companies Dictating Care: Chiropractor's Frustration!

14 Aug 2025 · 0 min

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In this brief excerpt, Dr. Vince Leone expresses strong frustration toward insurance companies' requirement for prior authorizations. He characterizes the process as ridiculous, demeaning, and insulting, arguing that insurers are effectively dictating patient care without being involved in the actual examination, treatment, or patient interaction. The monologue highlights the perceived overreach of insurance policies into clinical decision‑making and the negative impact this has on the clinician’s sense of professional autonomy.

And now you want me to do prior authorizations again? It's, it's ridiculous. And it's a bit demeaning and insulting, really. It really is, right? It's essentially insurance companies dictating care, which is a bunch of baloney. So, because they're not the one treat— they're not doing the consultation, the examination, and treating the patient and having the interactions and everything associated with patient care.