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🌐 Website: holisticallycorrect.com ✉️ Email: holisticsolutions108@gmail.com
Check out my colleague, Lila's new, podcast here: Herbal (R)evolution
In the first episode of Holistically Correct, Alicia Hawes reframes “the gap” in American healthcare as an insurance-driven problem, tracing the rise of utilization review and prior authorization from early risk-pooling plans to today’s routine delays and denials—sometimes even AI-driven—shifting decision-making away from doctors and burdening patients. She describes how shrinking reimbursements and growing administrative demands leave physicians with short visits, limited prevention, and little time for education or cross-specialist communication, while urgent care expands to fill access gaps through volume-based care. Alicia explains how holistic practitioners can bridge what insurance won’t fund—time, coaching, prevention, and whole-person pattern recognition—while still valuing doctors’ diagnostics and emergency care, and she invites more collaboration across modalities. Listeners are encouraged to assess whether their doctor truly listens, and to follow along for upcoming episodes, including one on digestion and Ayurveda.
00:00 Show Intro and Mission
00:56 Why Patients Still Feel Missing Pieces
03:41 Respecting Doctors While Seeing Limits
05:17 How Health Insurance Began
05:58 Old School Doctor Visits
08:07 Utilization Review Explained
09:29 Prior Authorization Takes Over
10:34 Real World Lab Denials and AI
13:15 Who Decides Medical Necessity
17:57 Doctors Trapped by Reimbursement
20:40 How Holistic Care Bridges the Gap
24:17 Why Labs Cost More With Insurance
27:05 Urgent Care Takes Over
27:24 Volume Based Incentives
28:39 UTI Case Study Fallout
29:51 Herbalism Fills The Gap
32:41 Time As The Missing Medicine
32:57 Seeing Whole Body Connections
35:30 Algorithmic Blind Spots
38:08 After Hours Reassurance
39:17 Bridging Practitioner Languages
42:06 Doctors Warming To Integrative Care
46:22 How To Tell If They Care
47:51 Wrap Up And Next