With the rollout of CMS-0057-F public reporting requirements, payer transparency is top of mind for provider organizations who are eager to reduce their prior auth blind spots. But there’s a fundamental limitation: the data is retrospective.
Agentic AI could finally deliver real end-to-end automation in prior authorization, but only if the right groundwork is in place. Dr. Steve Kim explains why most AI pilots fail, the hidden infrastructure challenges behind prior auth, and the three critical steps health systems must take before autonomous agents can operate reliably.
Gold carding sounds like the end of prior auth headaches. In reality, it often replaces portal submissions with complex tracking, confusing notification rules, and ongoing administrative work. Part 9 breaks down why gold carding rarely delivers true relief—and what providers should focus on instead.
