The Oatmeal Bite

The Oatmeal Bite

Prior Auth AI Cuts 45-Hour Weekly Burden

Physicians spend more time on prior authorization than on surgery — AI is finally fixing the administrative crisis that's driving burnout

Jonathan Govette, CEO/Oatmeal's avatar
Jonathan Govette, CEO/Oatmeal
May 30, 2026
∙ Paid

Doctors spend 45 hours a week on prior auth. AI is ending that.

Let that number sink in. The American Medical Association found that physicians and their staff spend an average of 45 hours per week — more than a full additional work week — on prior authorization tasks. Gathering clinical documentation. Submitting requests. Following up on denials. Filing appeals. Coordinating with health plans that have every structural incentive to delay.

📊 This is not a minor administrative inconvenience. It is a systemic dysfunction that costs the US healthcare system an estimated $35 billion per year in administrative waste, drives physician burnout at scale, delays care for patients who need it, and adds no clinical value whatsoever. Prior authorization exists to manage utilization and cost. The evidence that it achieves those goals — as currently implemented — is thin. The evidence that it causes harm is substantial.

AI is changing the prior auth equation from multiple directions simultaneously.

On…

User's avatar

Continue reading this post for free, courtesy of Jonathan Govette, CEO/Oatmeal.

Or purchase a paid subscription.
© 2026 Jonathan Govette · Privacy ∙ Terms ∙ Collection notice
Start your SubstackGet the app
Substack is the home for great culture