AI-Driven Prior Authorization Denials Raise Concerns Among Physicians, AMA Survey Reveals

HIT Consultant February 24, 2025
Fred Pennic

What You Should Know:

– A new survey from the American Medical Association (AMA) reveals growing concern among physicians about the use of artificial intelligence (AI) in prior authorization decisions by health insurers.

– The survey found that 61% of physicians are worried that AI-powered tools are leading to an increase in prior authorization denials, potentially harming patients and contributing to unnecessary healthcare costs.

Prior Authorization Concerns

Prior authorization, a process where health insurers require approval before covering certain medications or procedures, has long been a source of frustration for physicians and patients. The AMA survey highlights concerns that the use of AI in this process is exacerbating existing problems including:

• Increased denials: Physicians report that AI-powered...

Today's Sponsors

Today's Sponsor