{"version":1,"type":"rich","provider_name":"Libsyn","provider_url":"https:\/\/www.libsyn.com","height":90,"width":600,"title":"Modernizing Prior Authorization to Boost Transparency","description":"Episode Summary In this episode of the MedCity Pivot Podcast, host Arundhati Parmar sits down with Javier Gonzalez (Abarca Health) and Tanvi Patel (Amazon Pharmacy) to unpack one of healthcare\u2019s most frustrating processes: prior authorization. The conversation explores how outdated systems, lack of transparency, and fragmented communication are eroding patient trust and delaying care. From policy complexity and data gaps to operational risks, the guests break down why prior authorization remains such a challenge\u2014and what it will take to modernize it at scale. They also highlight the critical role of transparency, interoperability, and consumer expectations in shaping the future of healthcare. With insights from both payer and pharmacy perspectives, this episode paints a clear vision of a more patient-centered system where access to medication is faster, clearer, and more trustworthy Links &amp;amp; Resources   Connect with Arundhati Parmar   aparmar@medcitynews.com&amp;nbsp;   https:\/\/twitter.com\/aparmarbb?lang=en   https:\/\/medcitynews.com\/   Keywords prior authorization healthcare transparency patient trust interoperability digital pharmacy healthcare innovation medication adherence health tech ePA patient experience healthcare systems PBM reform Amazon Pharmacy Abarca Health Episode Highlights   00:00\u201300:25 \u2013 Introduction to prior authorization challenges and patient frustration   00:01\u201300:49 \u2013 Overview of modernization efforts in healthcare systems   00:01:27\u201300:03:31 \u2013 The three core challenges: policy complexity, data quality, operational risk   00:04:11\u201300:04:29 \u2013 Real-life impact: delays in critical care (cancer case)   00:04:36\u201300:05:22 \u2013 How prior authorization erodes patient trust   00:05:59\u201300:07:00 \u2013 Medication adherence begins before the first dose   00:07:00\u201300:07:18 \u2013 20\u201330% drop-off due to prior authorization failures   00:07:18\u201300:07:39 \u2013 Transparency as the key to patient engagement   00:08:20\u201300:09:45 \u2013 Benefits of electronic workflows (60\u201370% efficiency gains)   00:11:18\u201300:12:24 \u2013 What should be eliminated in a redesigned system   00:12:47\u201300:13:55 \u2013 Employers\u2019 role in improving benefit transparency   00:15:23\u201300:16:21 \u2013 Rise of modular PBM models and industry shifts   00:20:46\u201300:22:11 \u2013 Misaligned incentives across healthcare stakeholders   00:23:51\u201300:24:45 \u2013 Consumer expectations reshaping healthcare timelines   00:25:14\u201300:26:11 \u2013 The future: invisible, frictionless prior authorization   ","author_name":"MedCity Pivot","author_url":"http:\/\/medcitypivot.libsyn.com\/website","html":"<iframe title=\"Libsyn Player\" style=\"border: none\" src=\"\/\/html5-player.libsyn.com\/embed\/episode\/id\/40974475\/height\/90\/theme\/custom\/thumbnail\/yes\/direction\/forward\/render-playlist\/no\/custom-color\/88AA3C\/\" height=\"90\" width=\"600\" scrolling=\"no\"  allowfullscreen webkitallowfullscreen mozallowfullscreen oallowfullscreen msallowfullscreen><\/iframe>","thumbnail_url":"https:\/\/assets.libsyn.com\/secure\/content\/201070190"}