Published: 08 February 2024
Prior authorization workflows are inefficient. They introduce delays in care, contribute to poor outcomes, and frustrate payers, providers and consumers. Healthcare CIOs should use this research to make prior authorization processing intelligent, seamless and transparent for improved outcomes.
Most prior authorizations (PAs) between payers and providers require manual processing. PA decisions routinely take several hours to several weeks to complete — often resulting in care delays, abandonment and even adverse patient events.
Despite existing industrywide transmission standards, PAs between payers and providers continue to rely on a myriad of platforms and approaches — eroding consumer (patient and member) trust and causing inefficient processes.
Payers and providers lack a common understanding of the key capabilities of intelligent prior authorization management and execution, leading to confusion and inefficient technology spending.
Organize intelligent prior authorization (iPA) development efforts by using healthcare
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