Medical Economics May 3, 2024
The technology capable of accelerating prior and concurrent authorization decisions already exists — the challenge for payers and providers in 2024 is to apply them in a nonproprietary and transparent manner.
The potential of artificial intelligence (AI) tools to transform health care is demonstrably improving patient care and operational efficiency. Some administrative burdens ― automating various EHR tasks, completing repetitive patient forms ― are obvious areas where AI scripts can automate processes that lie outside the realm of clinical care. And more recently, the possibilities of generative AI have taken over headlines, but are still being trained and validated with respect to many operational use cases, including within prior authorization. Not all AI is generative AI, however, and not all...
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