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Thoughts on prior authorization, healthcare technology, and building a better system.

Prior Authorization Is Now the #1 Barrier to Healthcare Access — Ahead of Cost

New survey data from the AHA shows that prior authorization has surpassed cost as the number one barrier to healthcare access in America. This is the logical conclusion of everything broken about the system.

April 10, 2026 — Bobby Kuzma

45% of Doctors Are Thinking About Quitting. Prior Auth Is the Reason.

Nearly half of American physicians are considering leaving medicine — and prior authorization is the number one driver of burnout in 2026. The workforce crisis is here.

April 9, 2026 — Bobby Kuzma

The $70,000 Permission Slip: What Prior Authorization Actually Costs Your Practice

The average medical practice spends over $70,000 per year on prior authorization — and that's before you account for dedicated staff. Here's the real cost breakdown, and why the CMS 2026 FHIR mandate makes it worse before it gets better.

April 8, 2026 — Bobby Kuzma

The AI Denial Machine: How Insurers Weaponized Automation Against Patients

84% of insurers now use AI for prior authorization decisions, and denial rates are 16x higher when they do. Physicians, lawmakers, and researchers are sounding the alarm.

April 7, 2026 — Bobby Kuzma

13 Hours a Week: The Hidden Tax on Every Doctor in America

Physicians spend 13 hours per week on prior authorization paperwork — nearly two full days lost to bureaucracy instead of patient care. The AMA data is damning, and the U.S. Senate is finally paying attention.

April 6, 2026 — Bobby Kuzma

Prior Auth Delays Lifesaving Heart Failure Medications by 3–6x

New research shows that heart failure patients waiting on prior authorization take 3x longer to fill ARNIs and 6x longer for SGLT2 inhibitors — guideline-recommended therapies that reduce mortality.

April 3, 2026 — Bobby Kuzma

80% of Prior Auth Denials Are Overturned on Appeal — So Why Deny Them?

New transparency data shows that 4 out of 5 prior auth denials are reversed when appealed. The initial denial isn't a medical decision — it's a bet that you won't fight back.

April 2, 2026 — Bobby Kuzma

100% of Surveyed Oncologists Report Patient Harm From Prior Auth Delays

A Johns Hopkins study found that every oncologist surveyed reported patient harm from prior authorization. 80% watched cancer progress while waiting. 36% lost a patient.

April 1, 2026 — Bobby Kuzma

Why Prior Authorization is Broken — And What We're Doing About It

Prior authorization was designed to control costs. Instead, it's become the single biggest administrative burden in healthcare. Here's why, and how Artificer Health is fixing it.

March 31, 2026 — Bobby Kuzma