Will AI fix prior authorization—or make it worse?

First publishedJul 18, 11:18 UTC

Last updatedJul 18, 13:15 UTC · 6m ago

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If you’re like me, you or a loved one has struggled through the process of gaining pre-approval for the medical care that your physician has recommended. Personal stories abound regarding the tribulations of patients as they go through hoops to get their health insurer to pay for certain prescription medications, medical procedures, and more. When used judiciously, this process—known as prior authorization—serves as a check on overuse and spending on services or technologies for which there are less costly alternatives. But a large majority of physicians voice concerns about care delays, which can cause patients to abandon recommended treatments while waiting for the insurance company to verify their eligibility and confirm that the treatment is, indeed, medically necessary.

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  Ars TechnicaJul 18, 11:18

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