Medical Economics May 8, 2024
Brian Covino, M.D.

Technology can help overcome care disparities made worse by prior authorizations

Attaining health equity remains a paramount objective for health care professionals aiming to transcend the impact of socioeconomic factors on individuals’ health outcomes. The Centers for Medicare & Medicaid Services (CMS) has emphasized advancing health equity to address care disparities. Despite this effort, many communities grapple with health care access and outcomes disparities, often exacerbated by administrative hurdles like prior authorization processes.

Prior authorization can intensify the issue of health inequity further as it’s a significant factor in using social determinants of health (SDOH) to make vital care decisions. Studies have shown that prior authorization disproportionately affects low-income patients, people of color, and those living in underserved areas. These...

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Topics: AI (Artificial Intelligence), Equity/SDOH, Healthcare System, Insurance, Payer, Provider, Survey / Study, Technology, Trends
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