Tag:prior-authorizationClear

The scarce asset is ownership of exception-heavy workflows where administrative burden, clinical ambiguity, reimbursement friction, and safety accountability intersect. A modest AI company embedded deeply into prior authorisation, post-acute coordination, or payer-clinician documentation may be more valuable than a technically impressive company floating above workflow reality.

2w ago

The question is not, “Should prior auth go away completely?” It can’t and it won’t. Rather, the question should be, “Can prior auth be made more ethical and less infuriating?” I believe it can, and that AI can help. But it will require a rethinking of the entire process.

2w ago

Underscored — save the words that stop you in your tracks.

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