Managed Healthcare Executive August 27, 2020
But there are plenty of holdouts. Half of submissions are still done by phone or fax.
Most providers absolutely dread prior authorization. It adds to administrative work and may seem to stand in the way of good patient care. But for payers, “prior auth” is among the sturdiest, sharpest tools in the managed care toolkit because it gives them a way to control costs and steer physicians toward cost-effective choices.
Could electronic prior authorization (ePA) bring the two sides together?
“Prior authorization has not changed much in the last five years, but we have seen a shift in the method in which prior authorization requests are submitted,” says Caitlin Graham, vice president of Core Network, a division of...
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