Prior authorization touches nearly every part of healthcare, yet patients, providers, health plans and pharmacy benefit managers experience its friction differently. In this sponsored episode of Podnosis, host Kelly Hogan speaks with Adriana Ramirez, president and chief operating officer of Abarca Health, about insights from Abarca Forward, where stakeholders worked together to rethink the process.

Ramirez shares why the discussion revealed more alignment than expected and outlines a framework centered on experience, infrastructure and performance. The episode explores the need for greater transparency at the point of care, shared standards and structured criteria, and better coordination across medical and pharmacy benefits. It also considers why measures such as turnaround times, approvals and denials are not enough to show whether prior authorization is delivering value.

Watch the full interview to learn how time to therapy, treatment abandonment, clinical outcomes and total cost of care can provide a clearer view of performance, and why trust, accountability and collaboration are essential to meaningful redesign. Download the white paper to see the full framework. 

Prior authorization touches nearly every part of healthcare, yet patients, providers, health plans and pharmacy benefit managers experience its friction differently. In this sponsored episode of Podnosis, host Kelly Hogan speaks with Adriana Ramirez, president and chief operating officer of Abarca Health, about insights from Abarca Forward, where stakeholders worked together to rethink the process.
Ramirez shares why the discussion revealed more alignment than expected and outlines a framework centered on experience, infrastructure and performance. The episode explores the need for greater transparency at the point of care, shared standards and structured criteria, and better coordination across medical and pharmacy benefits. It also considers why measures such as turnaround times, approvals and denials are not enough to show whether prior authorization is delivering value.
Watch the full interview to learn how time to therapy, treatment abandonment, clinical outcomes and total cost of care can provide a clearer view of performance, and why trust, accountability and collaboration are essential to meaningful redesign. <a href="https://abarcahealth.com/redesigning-prior-authorization-shared-path-forward/">Download the white paper to see the full framework.</a>&nbsp;

Podnosis: the pulse of the healthcare industry. Every week, journalists from Fierce Healthcare dive into some of the industry’s biggest trends. We talk to the experts about what’s important now so you can prep for the future. Hear about all things healthcare, from physician practices to hospital chains and insurance giants—and those that mix all three—plus the tech they use, disruptors looking to compete and people moving the sector forward. Follow Podnosis on Apple Podcasts, Spotify, Amazon or wherever you get your podcasts.

Podnosis: the pulse of the healthcare industry. Every week, journalists from Fierce Healthcare dive into some of the industry’s biggest trends. We talk to the experts about what’s important now so you can prep for the future. Hear about all things healthcare, from physician practices to hospital chains and insurance giants—and those that mix all three—plus the tech they use, disruptors looking to compete and people moving the sector forward. Follow Podnosis on Apple Podcasts, Spotify, Amazon or wherever you get your podcasts.

Podnosis

Podnosis: the pulse of the healthcare industry. Every week, journalists from Fierce Healthcare dive into some of the industry’s biggest trends. We talk to the experts about what’s important now so you can prep for the future. Hear about all things healthcare, from physician practices to hospital chains and insurance giants—and those that mix all three—plus the tech they use, disruptors looking to compete and people moving the sector forward. Follow Podnosis on Apple Podcasts, Spotify, Amazon or wherever you get your podcasts.