Tackling the issues that plague the healthcare industry has been a passion of mine for years. Technologies exist that can address some of the challenges, especially when it comes to prior authorizations, which is why I am encouraged to be sitting alongside industry leaders during two sessions being held at the Workgroup for Electronic Data Interchange (WEDI) WEDI Annual Conference,
The hassle associated with prior authorization is a topic I’ve frequently voiced concerns about. Why? Because, the impact on the healthcare industry is significant. It results in hundreds of hours of wasted time each year, loss of thousands of dollars for providers and payers while patient care suffers due to the inefficiency of the process.
Healthcare is being transformed by technology, regulations and increased patient involvement in the clinical process. Federally mandated protocols, such as MACRA (Medicare Access and CHIP Reauthorization Act), are changing the care dynamic by requiring clinicians to report on patient satisfaction as a proxy for compensation. Value-based care has clinicians and administrative leaders hungry for timely and accurate data to guide planning and decision making.