DOTmed November 7, 2025
Heidi Nielsen

If you want to understand physician burn out, talk to any oncologist about prior authorization. These highly trained specialists watch helplessly as patients delay treatment, abandon therapies, and suffer complications while waiting for approval. Provider teams spend hours chasing authorization for treatments already aligned with longstanding evidence-based guidelines. Staff who could be counseling patients or coordinating care are instead stuck on the phone, faxing forms, or navigating a maze of payer portals.

But it’s not just providers and their staff who feel the pain. For patients with cancer, prior authorization can mean the difference between starting treatment on time or enduring weeks of agonizing delay.

In a 2023 study published by the American Society of Clinical Oncology, the authors captured...

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