Tyler Scheid, Esq.

Associate Director of Policy Development @AmerMedicalAssn | Yale Bulldog '09 🏊 | Opinions expressed are my own | Repost ≠ endorsement

[Tyler Scheid, Esq. @TylerScheid_JD]

🚨The results of the 2025 @AmerMedicalAssn prior authorization physician survey have been released!

And they reveal that PA is STILL a significant burden for patients, providers, and the health care system as a whole.

https://t.co/1bdipLDYFO

[Tyler Scheid, Esq. @TylerScheid_JD]

Congressional Budget Office calls for more research on No Surprises Act unintended impacts https://t.co/fUACZbUafW

[Tyler Scheid, Esq. @TylerScheid_JD]

A BRIDGE to nowhere...

Trump’s obesity drug plan creates a temporary Medicare program that may be hard to end https://t.co/4GmzQPIIAS via @statnews

[Tyler Scheid, Esq. @TylerScheid_JD]

Your daily dose of cringe...

https://t.co/s471rmdS0M

[Tyler Scheid, Esq. @TylerScheid_JD]

I have a feeling this isn't the last we've heard of "ghost approvals"...

Insurance denial after transplant: Approval isn't access https://t.co/ndaX5TflVD via @kevinmd

[Tyler Scheid, Esq. @TylerScheid_JD]

House committee votes to block funding for WISeR prior authorization pilot https://t.co/mMWGdR86M4

[Tyler Scheid, Esq. @TylerScheid_JD]

#fixpriorauth

[Tyler Scheid, Esq. @TylerScheid_JD]

Latest prior auth survey shows promised reform remains elusive https://t.co/d3LSus0Ku7 (via @AmerMedicalAssn)

[Tyler Scheid, Esq. @TylerScheid_JD]

AMA Advocacy Impact Report https://t.co/iBaiQnvRBK (via @AmerMedicalAssn)

[Tyler Scheid, Esq. @TylerScheid_JD]

Medical Care Delays for Approval Persist, Despite Insurers’ Promises
https://t.co/mrrzkiUDWA

[Tyler Scheid, Esq. @TylerScheid_JD]

https://t.co/2fa0T2SEKI

[Adam Schefter @AdamSchefter]

Steelers have agreed to terms with K Chris Boswell on a four-year, $28 million extension. The $7 million average per year ties him with Brandon Aubrey for highest paid kicker in NFL history, per CAA Football. Boswell is now locked in with the Steelers through the 2030 season.

[Marilyn Heine @MarilynHeineMD]

Thank you for sharing, @oncodaily!

Marilyn Heine: Advocating for Access to Care at the 2026 #ASCOAdvocacySummit https://t.co/tGVQljBofw @ASCO

[Tyler Scheid, Esq. @TylerScheid_JD]

.@SenatorCantwell's WISeR snapshot warns CMS’s AI‑driven prior auth pilot is backfiring:
- Medicare patients in 6 states face 2–4× longer waits
- opaque denials & care delays as algorithms override doctors.

AI shouldn’t block medically necessary care!
https://t.co/B1Ok8fF8dh

[Mark Cuban @mcuban]

Want to know how ridiculous and awful Ins company and their PBM denials are?

The insurance company that denies the claim, that is if it’s them and not a subcontractor like medica , also picked the network and doctors.  

So they are saying the network, that they sold to plan holders as being great, isn’t good enough for them to trust enough to determine your care.

And on top of that, they charge to appeal denials. Which is a problem for many people.  That should be illegal. 

And on top of that 60 pct of plan holders have plans from self insured employers.  It’s the company’s money.  

But the ceo has no idea that the carrier they hired to authorize care , may have denied life or death care.   They don’t know that for some amount of money they may be able to save the life or maintain the health  of an employee or their family. 

Require all TPAs to inform the CSuite of all critical denials , same day 

They Are Too Big to Care.
Break Up Big Medicine.

[Marilyn Heine @MarilynHeineMD]

Streamlined interoperability should not be a way to get to “no” faster.

As prior auth approval is given more readily, retrospective denials are seen more frequently.

Retrospective denials threaten physician practice sustainability and jeopardize patients’ access to care.

⤵️👀

[Tyler Scheid, Esq. @TylerScheid_JD]

OpenAI launches ChatGPT for Clinicians, a free AI tool for physicians, NPs and pharmacists https://t.co/gvrtLo9PSu

[Tyler Scheid, Esq. @TylerScheid_JD]

In a surprise to no one…a federal pilot program (WISeR) testing the use of AI for prior authorization is delaying care for seniors, report says https://t.co/PjB308hbf0 via @statnews

[Tyler Scheid, Esq. @TylerScheid_JD]

The health care "AI arms race" is here: payers use AI to deny claims while providers use it to appeal ⚔️

A new Stanford study says it’s time to pivot to Collaborative AI—focusing on transparency & human oversight to prioritize patients over paperwork. 🏥
https://t.co/XUc2LvSGch

[Tyler Scheid, Esq. @TylerScheid_JD]

AI in healthcare admin was supposed to cut costs, but it’s doing the opposite.

📉 By automating prior auth & billing, it’s actually driving up "system activity" & inflation.

Turns out, you can't fix a broken process just by making it faster. 🤖🚫

https://t.co/g7JBv5Dulk