Rethinking Prior Authorization: What Patients and Physicians Need to Know
Welcome back to Health Tech Checkup! In this episode, Perry Dimas and Rachelle Galant are joined by Dr. Michael Ybarra, Chief Medical Officer at PhRMA and a practicing emergency room physician.
Michael shares his experience working in both emergency medicine and health policy, and how staying connected to clinical practice has shaped the way he thinks about healthcare policy and the challenges facing providers and patients.
The conversation covers prior authorization, including the administrative burden it creates for physicians and staff, as well as the impact of delays on patient care. They also discuss how AI is being used to reduce administrative work, the future of the 340B drug pricing program, direct-to-patient pricing, and the role of price transparency in healthcare.
The episode also looks ahead at what could change in medicine over the next decade and why advancements in treatment have the potential to turn today's most difficult diagnoses into tomorrow's manageable conditions.
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