Prior Authorization & Utilization Review

8 confirmed failures

Funding Burned

$123.0M

Median Lifespan

5 years

Dominant Failure

Competitive Displacement

50% of cases

Period

2007 — 2024

Failure Pattern Distribution

Outspent by bigger competitors4 (50%)

Multi-stakeholder approval bottleneck3 (38%)

Couldn't connect to existing systems1 (13%)

Curator's Note

auto-generated

This section of the registry contains 8 healthcare Prior Authorization & Utilization Review startups that shut down between 2007 and 2024, representing $123.0M in combined funding. The dominant failure pattern is Competitive Displacement (50% of cases). Buyer Fragmentation accounts for another 38%. These entries were coded using the Gioia three-level qualitative methodology. Inter-rater reliability: 0.82 (strong agreement). This note is auto-generated and will be replaced by editorial analysis.

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Sample verdict

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Based on 8 Prior Authorization & Utilization Review failures in the corpus. Not your thesis.

KILLEDKill threshold 70%

Outspent by bigger competitors

A competitor with deeper pockets entered your space and is outspending you.

Precedents

Infinitus Systems (HC-0365) · 2024
Verata Health (HC-0355) · 2020
Rhyme (formerly PriorAuthNow) (HC-0366) · 2024

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Building in prior authorization & utilization review? Stress-test your thesis against these 8 failures.