Prior Authorization's Next Era: CMS Reform, AI, and Faster Approvals
This episode is brought to you by Semafor Healthcare.
Delivered weekly from David Lim, Semafor Healthcare connects the dots between decisions in government, business, and technology to reveal how they impact the future of healthcare. Each edition will provide the analysis you need to understand and stay ahead of a rapidly changing landscape. Subscribe for free.
Health Affairs Publishing's Jeff Byers welcomes Senior Editor Kathleen Haddad back to the pod to discuss the evolving prior authorization landscape, including CMS efforts to streamline approvals, insurer responses, and emerging questions around AI-driven decision-making.
A Health Affairs journal subscription directly connects you to the research shaping the future of health policy and health care. Until 10/14, purchase a two-year digital subscription to Health Affairs journal and receive a third year free with code ONEFREEYEAR.
Sign up for Insider to get exclusive access to our trend report focusing on the current prior authorization landscape.
Related Links:
- Medicare’s AI prior authorization pilot was rushed and full of problems, new documents reveal (Stat News)
- Prior authorization denials vary widely among insurers, first-of-its-kind data shows (Healthcare Dive)
- UnitedHealthcare cuts prior authorization from 1,700 codes (Healthcare Dive)
- TREND REPORT: The Current Prior Authorization Landscape (Health Affairs Insider)
- PR STUNT: UnitedHealth’s Big Prior Authorization Cut (Health Care Un-covered)
Sign up for Health Affairs' free newsletter to catch up on our new articles, podcasts, and events.
You May Also Like

The Dr. John Delony Show
Ramsey Network

Hypnosis for sleeping deeply (Jason Newland)
Jason Newland

Nature Sounds - Rain
Sol Good Network

Law of Attraction Lectures
Sol Good Network

The Healthy Diabetic
Coach Ken Kniss

Cat 81 Radio
Cat 81 Radio

Power Athlete Radio
Power Athlete

Meditation for Anxiety
Anxiety

Foodnourish Deep Dives
Pavlos Giorkas

Mayim Bialik's Breakdown
Mayim Bialik
Community discussion