HealthIT Answers June 19, 2021
By Richard Cohan, President of the Provider Solutions Division, DrFirst
Since the 1960s, medical prior authorizations have established a system of checks and balances that help control the costs of medication, services, and procedures. While much has changed since those days, many challenges—such as cumbersome manual processes for payers and providers and delays in care for patients—have remained the same.
Discussions on how to improve the prior authorization (PA) process continue and controversy around proposed legislation persists, but there’s also good news. We have the technology today to create an end-to-end, electronic PA (ePA) solution that automates manual processes, operates in near-real time, integrates into electronic health record (EHR) systems, and automatically syncs with PA rule changes.
New Standards and...
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