The Hidden Cost of Prior Authorization cover art

The Hidden Cost of Prior Authorization

The Hidden Cost of Prior Authorization

Listen for free

View show details

About this listen

Healthcare decisions should be made by patients and physicians. But today, millions of treatments are delayed because of a process most patients never see: prior authorization. In this episode of In Good Company, we explore the growing impact of prior authorization denials and why the system may be harming patients. The data tells a powerful story. More than 80% of prior authorization appeals are successful, yet only a small fraction of denials are ever appealed. That raises an important question. If the majority of appeals succeed, why are so few filed? We break down the numbers behind Medicare Advantage denials, the administrative burden facing physicians, and the real-world consequences patients experience when care is delayed. Physicians report that prior authorization delays necessary treatment in the vast majority of cases, sometimes leading to hospitalization, life-threatening events, or permanent harm. This conversation goes beyond statistics. It explores the human side of healthcare policy, including how administrative barriers affect doctors, patients, caregivers, and families across the country. Because behind every delay is a person waiting for care. And the question we must ask is simple: Is the system working for patients? #Healthcare #HealthcarePolicy #HealthcareReform #PriorAuthorization #MedicareAdvantage #PatientCare #PatientAdvocacy #HealthPolicy #HealthCareSystem #Doctors #Physicians #Nurses #MedicalCommunity #HealthcareLeadership #HospitalCare #HealthcareAccess #MedicalCare #HealthEquity #Caregivers #Caregiving #PatientSafety #HealthcareAdministration #HealthInsurance #HealthcareIndustry #HomeHealth #HospiceCare #PublicHealth #HealthcarePodcast #InGoodCompanyPodcast #HealthcareDiscussion #MedicalNews #HealthcareInnovation

No reviews yet
In the spirit of reconciliation, Audible acknowledges the Traditional Custodians of country throughout Australia and their connections to land, sea and community. We pay our respect to their elders past and present and extend that respect to all Aboriginal and Torres Strait Islander peoples today.