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Stuck in Prior Auth Purgatory: The Hidden Costs of Health Care Delays
Delays, denials, and endless paperwork—prior authorization isn’t just a headache for providers; it’s a barrier for patients who need timely care, explains Colin Banas, MD, MHA, chief medical officer with DrFirst.
Today, we’re diving into the frustrating world of prior authorizations. Delays, denials, and endless paperwork—this process isn’t just a headache for providers; it’s a barrier for patients who need timely care.
Joining us is Colin Banas, MD, MHA, chief medical officer at DrFirst, who willl unpack why this system is broken and how we can fix it. From shocking patient delays to the surprising role of fax machines in 2025, we’ll explore why prior auths are driving burnout, potentially harming outcomes, and what’s being done to streamline the process.
Whether you’re a provider, patient, or just curious about health care’s hidden hurdles—stick around. This is one episode you won’t want to miss.
Listen above or on one of these podcast services:
Managed Care Reflections: A Q&A With A. Mark Fendrick, MD, and Michael E. Chernew, PhD
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Managed Care Reflections: A Q&A With A. Mark Fendrick, MD, and Michael E. Chernew, PhD
December 2nd 2025To mark the 30th anniversary of The American Journal of Managed Care (AJMC), each issue in 2025 includes a special feature: reflections from a thought leader on what has changed—and what has not—over the past 3 decades and what’s next for managed care. The December issue features a conversation with AJMC Co–Editors in Chief A. Mark Fendrick, MD, director of the Center for Value-Based Insurance Design and a professor at the University of Michigan in Ann Arbor; and Michael E. Chernew, PhD, the Leonard D. Schaeffer Professor of Health Care Policy and the director of the Healthcare Markets and Regulation Lab at Harvard Medical School in Boston, Massachusetts.
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