electronic prior authorization

  • Artificial Intelligence

    MedCity Pivot Podcast: 2 Perspectives on how AI Can Soothe Burnout, Burden of Prior Authorization

    I interview Punit Singh Soni, CEO of Suki and Niall O’Connor, CTO, Cohere Health to evaluate two areas where AI can have an outsize impact: clinical documentation and prior authorization.

    / Jun 21, 2023 at 7:02 PM
  • Legal, Payers

    Payers Can Reform Prior Authorization to Make it Faster, Smoother But Will It Satisfy the AMA?

    In a recent interview, Dr. Jesse Ehrenfeld, the president-elect at the American Medical Association, outlined how the major pain point of physicians has gone from the EHR to prior authorizations requests. But none of the individual efforts that payers are making is enough.

    / Apr 18, 2023 at 2:20 PM
  • Payers

    How Emblem Health’s CFO is looking at reforming prior authorization

    Emblem Health’ s chief financial officer knows that prior authorization — where patients have to […]

    / Oct 20, 2022 at 10:38 PM
  • Legal

    Bill mandating electronic prior authorizations may not improve care quality

    The Act, along with mandating the adoption of electronic prior authorization, requires greater levels of transparency, approval rates, and rationale for denied requests.

    / Oct 11, 2022 at 1:35 PM
  • MedCity Influencers, Payers

    It’s time to relieve electronic prior authorization bottlenecks

    It’s time to embrace electronic prior authorization that, according to a 2021 AHIP study, has been found to reduce the mean time from PA request to decision by 69%. In addition, 71% of providers using ePA reported “faster time to patient care.”

    / Sep 2, 2021 at 2:00 PM