HIT Consultant November 21, 2025
Few phrases raise blood pressure among doctors and patients like “prior authorization.” Ask any clinician and you’ll hear the same story: delayed treatments, endless back-and-forth, and vulnerable individuals left waiting while paperwork wins the day.
For providers, prior authorizations are a constant drain of time and energy. For patients, they can mean worsening conditions, missed windows for effective treatment, or even care that never arrives at all. And for payers, prior authorizations are a blunt instrument used to control expenditures and enforce documentation—sometimes creating tension with the very clinicians trying to deliver timely care.
These challenges have sparked a race toward solutions that promise speed. Automation and now AI are held up as saviors: fewer clicks, faster responses, reduced...
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