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‘Prior Authorization’ Has Become a Dirty Word in Healthcare, But it Might Be Medicare’s Smartest Path Forward

Since its inception, AI in prior auth has only been at work in the commercial healthcare marketplace. Now new innovative approaches that reframe prior auth as a resource instead of a roadblock have come to Medi

Press

April 26, 2026

For years, Americans have been caught in a destructive healthcare bind: they need vital medical procedures, but they must first navigate a bureaucratic minefield known as prior authorization. I felt the pain of this reality firsthand during my 19 years as an interventional radiologist at Mayo Clinic. Every Monday, I arrived at work confronted by a stack of manila folders filled with denied prior authorizations. My requests for the care my patients needed were routinely blocked, forcing my nurse — one of the very best I’ve ever worked with — to spend half her time on paperwork rather than hands-on patient care.

Read the entire article by Jeremy Friese, MD, here: ‘Prior Authorization’ Has Become a Dirty Word in Healthcare, But it Might Be Medicare’s Smartest Path Forward