Why Prior Authorization Needs a Reset

By 2030, prior authorization as we know it will be unrecognizable. The convergence of CMS-0057, WISeR pilots, and nationwide interoperability mandates—paired with breakthroughs in AI—will transform prior authorization from a costly administrative burden into an intelligent, patient-centered clearance process.   Jeremy Friese, MD, founder and CEO of Humata Health, joins Sandy Vance to talk about one of the most frustrating problems in healthcare: prior authorization. Luckily, AI may finally be the tool that can fix it. Drawing on his experience as a physician and healthcare executive, Jeremy explains how automation, interoperability, and smarter clinical data workflows can reduce denials, improve efficiency, and help patients get care faster. Their chat explores the changing industry, what still needs to happen, and why the future of prior authorization may look very different by the end of the decade.