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Management didn't buy it because it lowered per patient revenue.

Another flaw of insurance covering normal doctor visits.

My insurer denied helicopter EMS for a patient due to lack of prior approval. Hmm, "On scene of an MVA, patient needs trauma center, call insurer".

Imagine this in auto insurance. "Sorry, your car accident coverage was denied because you didn't get prior approval."

so true-insurance seems the biggest barrier to making this successful