Send us a text Show Link: https://www.acpjournals.org/doi/10.7326/0003-4819-153-8-201010190-00274 Why Listen 👥 In this episode, the hosts delve into the complexities of the healthcare system, discussing the impact of large hospital systems as major employers, the broken window fallacy in healthcare, and the challenges of high premiums. They explore the historical context of certificate of need laws and site of service differentials, and how these contribute to rising healthcare costs. The con...
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Send us a text Show Link: https://www.acpjournals.org/doi/10.7326/0003-4819-153-8-201010190-00274 Why Listen 👥 In this episode, the hosts delve into the complexities of the healthcare system, discussing the impact of large hospital systems as major employers, the broken window fallacy in healthcare, and the challenges of high premiums. They explore the historical context of certificate of need laws and site of service differentials, and how these contribute to rising healthcare costs. The con...
Prior Auth: The AI Arms Race, Medicare’s Cliff, and the Boomer Trade-Off
The Doctor's Lounge
58 minutes
2 months ago
Prior Auth: The AI Arms Race, Medicare’s Cliff, and the Boomer Trade-Off
Send us a text Original Substack Release Date: July 20,2025 🎯 Why Listen Prior authorization is the bureaucratic chokehold strangling American healthcare. But this episode isn’t just venting — it’s a masterclass in how the system got built, why it persists, and where leverage actually lies. From AI-driven denials to Medicare’s looming funding cliff, we break down the forces shaping care today and what physicians and patients can do about it. 👥 Co-Hosts Dutch Rojas – Founder, Bliksem...
The Doctor's Lounge
Send us a text Show Link: https://www.acpjournals.org/doi/10.7326/0003-4819-153-8-201010190-00274 Why Listen 👥 In this episode, the hosts delve into the complexities of the healthcare system, discussing the impact of large hospital systems as major employers, the broken window fallacy in healthcare, and the challenges of high premiums. They explore the historical context of certificate of need laws and site of service differentials, and how these contribute to rising healthcare costs. The con...
