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The Prior Authorizations Conspiracy: EviCore

Stuff They Don't Want You To Know

CHAPTER

The EviCore Dilemma: Profits vs. Patient Care

This chapter explores the intricate issues surrounding EviCore, a third-party organization that complicates the prior authorization process in healthcare. It highlights the challenges faced by healthcare providers due to bureaucratic hurdles and the ethical dilemmas of prioritizing profits over patient needs, emphasizing the impact on approximately one in three insured Americans. The discussion critiques the automated decision-making processes and algorithmic influences that may lead to increased denial rates for necessary medical treatments.

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