Could AI Improve Prior Authorization or Make It Worse?

Prior authorization, intended to curb overuse and spending, often leads to care delays and patient frustration. Artificial intelligence could speed up approvals for clearly justified claims, but many physicians fear it may increase wrongful denials. A 2025 American Medical Association survey found that 61% of doctors worry AI will exacerbate denials of necessary treatments, highlighting significant resistance to its use in this process.

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