🚨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
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
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.
.@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
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.
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.
⤵️👀
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
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
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