Prior authorization is a cost-control process that requires providers to qualify for payment before performing a service through an approval process. Despite its good intentions, this extra step to determine whether or not a procedure is appropriate and will ultimately be covered is often an inconvenience for both physicians and consumers. Most care delays are associated with prior authorization issues, which contributes to patients abandoning treatment and administrative inefficiencies: wasted time and money.
In efforts to streamline operations, prevent gaps in care, and enable better therapy adherence, providers are requesting changes to payers’ prior authorization communication protocols. Payers and Providers both seek to reduce the overall volume of prior authorizations, increase transparency on requirements, and promote automation. Through the use of advanced interoperability, clinical decision support, payer-provider collaboration, and other health IT tools, electronic prior authorization could help providers comply with good cost-management initiatives while confidently practicing good medicine.
This webinar will review the key actions needed to move prior authorization forward, as decided by participants of various eHI prior-authorization initiatives in 2018.
More details and registration link coming soon.