HealthLeaders Media November 16, 2022
“Bringing pre-authorization to the point of care” reduces burden across stakeholders, notes one Regence executive.
KEY TAKEAWAYS
– Multi-state Blues plan Regence and ACO MultiCare Connected Care have partnered to embed near real-time prior authorization decisions into the provider EHR workflow.
– The payer-ACO partnership is the first in the U.S. to use Fast Healthcare Interoperability (FHIR) standards for the process.
– It is the latest in a series of stakeholder, regulatory, and legislative improvements designed to reduce burden and increase access.
Regence—a Blue Cross Blue Shield Association plan offering commercial, exchange, and Medicare Advantage (MA) plans across Idaho, Oregon, Utah, and Washington—has launched a partnership with ACO MultiCare to speed prior authorization (PA) using the FHIR PA Support Standard.
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