How do you handle insurance companies in regards to IBD patients?

[thelittleRNwhocould]

I'm a clinic nurse in GI. The vast majority of my time is spent fighting insurance companies to obtain coverage of biologic medications for our Crohn's and UC patients. Patient care seems to often come second to submitting prior authorizations/pre-determinations, calling insurance companies, submitting appeals, and trying to coordinate site of care issues (insurance won't cover hospital infusions any longer). How do you manage these issues and still take care of your patients? I'm drowning here.