Artificial intelligence is becoming part of healthcare—but what happens when AI, automation, and algorithms enter the world of insurance authorization?

In this episode of American Healthcare Denied, Hanna and Beverly break down what AI and automation can actually do in the prior authorization process, where technology may help reduce paperwork and administrative denials, and where things get more complicated.

What happens when a prediction doesn’t match the actual patient? Could algorithms reinforce problems already present in healthcare data? What happens when an algorithm and a treating clinician disagree? And if technology materially influences an insurance decision, should patients know?

We’ll also talk about documentation, automation bias, human oversight, transparency, appeals, and what patients can actually do when their care is denied.

Because patients aren’t averages. They’re people.

🎙️ American Healthcare Denied

Real conversations about healthcare, insurance, denials, and what happens when getting care isn’t as simple as it should be.

Listen now—and share this episode with someone who needs to hear it. https://linktr.ee/ahdenied

You have health insurance… so why are you still getting hit with a $1,000, $3,000, or even $5,000 medical bill?!

In Episode 6 of American Healthcare Denied, Hanna & Bev break down the numbers behind your medical bills—without the confusing insurance jargon.

We’re talking deductibles, copays, coinsurance, allowed amounts, hospital charges, out-of-pocket maximums, and why one hospital visit can somehow turn into multiple bills.

Most importantly, we answer the question so many patients eventually ask:

“If I have insurance, why do I still owe this much money?”

Because being insured doesn’t always mean healthcare is affordable.

Let’s follow the money. 💸

🎙️ American Healthcare Denied https://linktr.ee/ahdenied

❤️ Follow, listen, and share with someone who has ever stared at a medical bill and thought, “WHAT IS THIS?!”

Doctors are on strike in Minnesota—and it raises a much bigger question: who really controls American healthcare? 

In this episode, we break down the physician and hospice nurse strikes at Allina Health, what doctors are asking for, physician autonomy, burnout, patient care, healthcare consolidation, and the ethical questions surrounding healthcare workers going on strike. 

And yes… AI makes an appearance. 👀 

🎙️ American Healthcare Denied 

Hanna & Bev

https://linktr.ee/ahdenied

What happens when your insurance says DENIED?

In Episode 4 of American Healthcare Denied, Hanna & Bev break down what to do after an insurance denial, how to understand the reason behind it, and how to fight back. From gathering documentation to filing an appeal, we’re giving you practical tools to help you navigate the system and advocate for yourself.

Because denied doesn’t always mean done.

🎙️ Listen, like, follow, and share this episode with someone who needs to hear it. Your support helps us reach more people who are navigating the healthcare system and looking for answers.

💙 Stay connected with American Healthcare Denied and find all our links, social channels, and more at our Linktree:

https://linktr.ee/ahdenied

Listen. Share. Stay connected. And remember—you don’t have to navigate it alone.

Why does a doctor need an insurance company’s permission to treat their patient? 

In this episode of American Healthcare Denied, Hanna & Bev break down prior authorization—what it is, why insurance companies require it, and what happens when care is delayed or denied. 

Because when treatment is medically necessary, should getting care depend on an insurance company saying yes? 

🎧 Listen to Episode 3 and join the conversation!

Have an insurance story to share? Share Your Story through the link in our Linktree. ❤️ 

American Healthcare Denied — because patients deserve to be heard. https://linktr.ee/ahdenied

Episode 2: Wait… What Kind of Insurance Do I Have? 

Health insurance can feel like a completely different language. HMO? PPO? EPO? POS? Deductible? Coinsurance? Out-of-pocket maximum? And what’s the actual difference between Medicare and Medicaid? 

In this episode of American Healthcare Denied, Bev and Hanna break down the confusing world of health insurance in simple, everyday language. 

We’ll explain: 

🩺 The difference between HMO, PPO, EPO, and POS plans 

💳 Premiums, deductibles, copays, coinsurance, and out-of-pocket maximums 

🏥 Why insurance networks matter—and what “in-network” really means 

📋 What high-deductible health plans are and how HSAs fit in 

👵 The basics of Original Medicare vs. Medicare Advantage 

💙 How Medicaid works and why it can vary by state 

🏢 The difference between employer-sponsored and self-funded insurance plans 

💰 Why having insurance doesn’t always mean your healthcare will be affordable 

Most importantly, we talk about how the type of insurance you have can affect which doctors you can see, which hospitals you can use, what services require approval, and how much you may ultimately have to pay. 

Because when it comes to healthcare, “I have insurance” is only the beginning of the conversation. 

🎙️ American Healthcare Denied — breaking down the healthcare system one confusing insurance term at a time.

Stay Connected With Us

https://linktr.ee/ahdenied

Episode 1: How the American Healthcare System Actually Works

Healthcare in America can feel confusing, expensive, and impossible to navigate.

In our first episode of American Healthcare Denied, we’re breaking down how the American healthcare system actually works in plain English, without the confusing jargon.

This is just the beginning. Each week, we’ll tackle a new healthcare topic and make it easier to understand.

Healthcare shouldn’t be this confusing. Let’s figure it out together.

https://linktr.ee/ahdenied