Denying the Denials: AI in Pre-Authorizations
The insurance side of AI  Centers for Medicare and Medicaid Services (CMS) does not require insurers to disclose how they make authorization decisions or how predictive technologies factor into the process. A 2025 survey  found that most insurers are now using AI, with 68% using it for prior authorization reviews. The battle lines are drawn when decisions to deny care are made without human oversight. In this same survey, only 12% of insurers said they used or were consider
Nov 131 min read
The Checklist
In his book, The Checklist Manifesto: How to Get Things Right (2009), Atul Gawande makes a compelling argument that we can do better,...
Mar 22, 20231 min read




