Chief Healthcare Executive September 11, 2024
Health systems are getting more denials from commercial insurers and Medicare Advantage plans, according to an American Hospital Association report. And they cite AI as a problem.
Hospitals and health systems say they are dealing with higher administrative costs due to what they describe as more burdensome hurdles from insurers.
Administrative costs now represent more than 40% of the costs for hospitals in caring for patients, according to a new report released Tuesday by the American Hospital Association.
Health systems have long complained about the amount of time they are spending on getting approval from insurers before engaging in treatment plans or prescribing drugs, the process known as prior authorization. Hospitals and doctors have cited delays in securing authorization as...
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