Prior authorization serves a legitimate purpose, but the way the system has evolved can create uncertainty for patients, administrative disruption for providers and credibility challenges for health plans and PBMs. In this sponsored episode of Podnosis, Abarca Health President and Chief Operating Officer Adriana Ramirez joins host Kelly Hogan to discuss what stakeholders across healthcare identified as the biggest sources of friction and where they found common ground.
The conversation examines a practical framework organized around experience, infrastructure and performance. Ramirez explains why the industry should bring decision support closer to the point of prescribing, establish shared standards and structured criteria, and move beyond activity measures to outcomes such as time to therapy, treatment abandonment, clinical results and total cost of care.
The takeaway is clear: the technology and capabilities largely exist, but progress depends on trust, accountability and collaboration across the ecosystem. Watch/Listen the full interview to learn how stakeholders can begin redesigning prior authorization around one patient journey. Download the white paper to see the full framework.