AI won't end the prior authorization fight, payers and providers are still at war

A new analysis argues that framing prior authorization as a mere efficiency problem misreads the conflict. The core issue remains a fundamental disagreement over medical necessity, where payers use PA to manage costs and providers see it as care interference. While vendors pitch AI for faster determinations, this does not resolve the underlying tension over what services should be covered. For billing teams, this means the operational burden and denial risk from PA are structural, not just technical.