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Paid episode

The full episode is only available to paid subscribers of The Rojas Report

The Prior Auth Scam, Medicare Meltdown, and Boomer Betrayal

What happens when physicians are forced to beg insurers for permission to do their jobs?

In this week’s episode of The Doctor’s Lounge, we dissect the bureaucratic circus known as prior authorization. But this isn’t just a physician gripe session, it’s a blueprint for how the system got rigged, who’s profiting from the delays, and why AI is now being deployed on both sides of the war. One side uses it to deny care. The other, to claw back a sliver of physician autonomy.

Joined by Dr. Dan Choi, Dr. Anthony DiGiorgio, and Dr. Sanat Dixit, we pull back the curtain on the AI arms race, the Medicare funding cliff, and how an entire generation, boomer physicians included, traded autonomy for comfort, leaving younger doctors to clean up the mess.

We also break down how 66% of the commercial market, self-funded employers, could eliminate pre-auth tomorrow. They just don’t know it yet.

This is not a system designed for patients. It’s not even designed for physicians. It’s designed for delay. Denial. And distraction. If you want to understand where your leverage is, and how to take it back, this episode is for you.

Listen now, and share it with someone who thinks “insurance is just how healthcare works.”

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