Latest / Off the Chart: A Business of Medicine Podcast
S1 Ep178: A year after the prior authorization pledge, what changed? with Colin Banas, M.D., of DrFirst
In June 2025, dozens of health insurers pledged six fixes to prior authorization. A year later, the AMA found that just 24% of physicians say denials are consistently reviewed by an appropriately qualified clinician, and Colin Banas, M.D., M.S.H.A., chief medical officer of DrFirst, says the process is as bad as ever.
Physicians Practice Managing Editor Keith Reynolds sat down with Banas to go through the pledge commitment by commitment and to look ahead to Jan. 1, 2027, when the CMS Interoperability and Prior Authorization final rule stops asking payers to cooperate and starts requiring it…
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