Back to Cut & Tell

Podcast Episode

Prior auths, step therapy, and AI: how doctors lose their professional sovreignty

Cut & Tell··23 September 2026·42 min

About this episode

Every week, doctors spend 13 hours fighting insurance companies just for permission to treat their patients — and now, under a new Medicare pilot, some of those decisions are being handed to AI. In this episode, Liz digs into prior authorization: where it came from, how it quietly stripped doctors of their professional sovereignty, and why the newest version of this system might be the most alarming yet.📚 Referenced: The Social Transformation of American Medicine by Paul StarrHost: Liz Malphrus, MDConnect with Liz: https://www.hippocratic-collective.com/members/liz-malphrus-mdIG: @dr.malphrusProduced By: The Hippocratic CollectiveSubscribe to @hippocraticcollective on Youtube for all of the other shows and content the Hippocratic Collective has to offer.