4sight Health October 30, 2024
David Burda

You should know by now that hospitals and doctors hate prior authorization (PA) requirements by health plans. Providers blame PA for much of what’s wrong with the healthcare system. It’s just a matter of time before they suggest PA had something to do with the Kennedy assassination and what really crashed in Roswell, New Mexico.

If you know healthcare, and I think you do if you’re reading this blog post, you know the heated debate over PA has nothing to do with patients, or healthcare’s customers. It has everything to do with money.

Insurers don’t want to pay provider claims, so they (or their artificial intelligence-powered technologies) delay or deny PA approvals. Providers want insurers to pay in full and...

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