How to fight AI-driven prior authorization denials

Prior authorization has become one of the most time-consuming and frustrating administrative burdens facing physicians today. Designed originally as a cost-control mechanism, the process often delays care for patients who need it urgently. Physicians and their staff can spend hours each week completing authorization requests, tracking approvals, and appealing denials, pulling focus away from patient care. Studies have shown that prior auth delays can lead to treatment abandonment, disease progression and in some cases, serious patient harm.

In this episode of Vital Signs with Dr. Sarah Matt, she discusses the developing AI arms race in prior authorization denials — and what physicians can do about it.

Matt is an editorial advisory board member for Medical Economics and the author of The Borderless Healthcare Revolution: The Definitive Guide to Breaking Geographic Barriers Through Technology.