The Monster in the Middle; Why Prior Authorization Wrecks the Patient Experience, and Why Everyone’s Trying to Tame It

from Microdosing · host Paul Schrimpf

Every industry has a process that looks small on paper butshapes everything around it. In healthcare, that process is priorauthorization. It is the quiet monster that hides between doctors, payers, and patients, invisible to most until it strikes. When it does, it does not just delay care; it unravels trust, burns out staff, and corrodes the very idea of a coordinated patient journey.

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This episode was published on November 29, 2025.

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