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AI in prior authorization: the new gatekeeper

Kevinmd.com1 min read
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AI in prior authorization: the new gatekeeper

Original Article Summary

The denial came back in less than three seconds. A physician had just submitted a renewal for a medication her patient had taken for years, one that kept her stable, out of the hospital, and able to function. She expected the usual wait time. Maybe an hour. M…

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Our Analysis

KevinMD's discussion on AI in prior authorization highlights the rapid decision-making capabilities of AI systems, with denials being issued in under three seconds. This development has significant implications for website owners, particularly those in the healthcare industry, as AI-powered prior authorization systems may alter the way medical information is processed and verified online. With AI acting as the new gatekeeper, website owners may need to reassess their content and ensure that it aligns with the evolving standards of AI-driven prior authorization. To prepare for this shift, website owners can take several steps: firstly, review their website's content to ensure it provides accurate and up-to-date information on prior authorization requirements; secondly, consider implementing AI-friendly formatting for medical information to facilitate smoother processing; and thirdly, monitor their website's traffic to detect any changes in AI bot activity related to prior authorization, updating their llms.txt file accordingly to reflect these changes.

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