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AI in Prior Authorization: Physician Alarm Over Patient Harm and Burnout


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Physicians are raising urgent concerns about the escalating use of AI in health insurers' prior authorization processes. A recent AMA survey reveals that AI-driven denials are significantly impacting patient care and physician well-being. 61% of doctors fear increased denials, with 75% reporting a surge in the past five years. Alarming statistics show 29% of patients experienced serious adverse events, and 94% saw negative clinical outcomes due to prior authorization. The average physician handles 39 authorizations weekly, contributing to severe burnout. AI's role, often lacking human oversight, leads to treatment delays, abandonment, and financial burdens. Physicians advocate for regulatory oversight, emphasizing AI should augment, not replace, human decision-making. Denial management companies see AI as a crucial tool for streamlining processes, predicting denials, and improving reimbursement, highlighting the technology's growing importance in navigating complex healthcare systems.

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Target State: California
Target City : Glendale
Last Update : Mar 06, 2025 6:37 AM
Number of Views: 31
Item  Owner  : Albert
Contact Email:
Contact Phone: 08668542714

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2025-03-08 (0.334 sec)