Healthcare DIVE December 5, 2022
There are many points of friction along the patient journey, but prior authorization processing is among the most time-consuming, costly and frustrating of these stumbling blocks. Each year in the U.S., medical administrative expenses total approximately $400 billion and more than 10% of this spending is solely for obtaining authorization to provide healthcare services. Often cited by providers as a major source of administrative burden, the prior authorization process is also difficult and stressful for patients and caregivers as well.
Changes to prior authorization processing are long overdue and regulators are well aware that modernizing it by introducing automation will yield massive time and cost savings. The nonprofit Council for Affordable Quality Healthcare estimates that electronic prior authorizations could save...
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