Tag: AI in prior authorization

Prior Authorization Automation

Can Automation Solve the Prior Authorization Problem in Healthcare?

In today’s healthcare ecosystem, prior authorization (PA) remains one of the most burdensome administrative processes, creating delays, denials, and dissatisfaction among providers and patients alike. Originally designed to ensure appropriate care and control costs, the process has become a major pain point due to its manual, repetitive, and inconsistent nature. But with the rise of […]
AI-driven prior authorization denials

AI-Driven Prior Authorization Denials: Physicians Warn of Patient Harm & Burnout

A growing number of physicians are voicing concerns about the increasing role of artificial intelligence (AI) in health insurers’ prior authorization processes. The American Medical Association’s (AMA) latest 2024 AMA Prior Authorization Physician Survey highlights that many warn AI-driven prior authorization denials are exacerbating patient harm and physician burnout. The survey, which included 1,000 practicing […]