E-book: Automated Electronic Prior Authorization for Patients, Providers and Payers


Author:
Nadia Christensen, M.D.
Director, Clinical Product
PINC AI Clinical Intelligence

Patients, providers and payers alike are feeling the pain of prior authorization (PA) in its current state.1 The lack of a streamlined, automated, easily accessible approval process for medical tests and therapies wastes payers’ and providers’ time and money and delays patients’ access to care.2,3

With artificial intelligence (AI) using natural language processing (NLP), machine learning (ML), and clinician codified and validated prior authorization policies, we have the content and technology designed to make PA easier, faster and less painful. The on-demand generation can have an instant prior authorization process that rivals the ease of use of their rideshare, food ordering and movie streaming apps that makes their lives more enjoyable and productive.

Download this e-book to learn about:

  • Instant access and the on-demand generation
  • Tidying, organizing and finding joy in ePA
  • The 3D patient and the unshackled reviewer

Download our complimentary e-book and join us and the on-demand generation in the transformation of PA.


References:

1 Casalino LP, Nicholson S, Gans DN, et al. What does it cost physician practices to interact with health insurance plans? Health Affairs (Millwood). 2009;28(4):w533–43. DOI: 10.1377/hlthaff.28.4.w533. Accessed at: https://www.healthaffairs.org/doi/pdf/10.1377/hlthaff.28.4.w533 Accessed: May 31, 2019.

2 Morra D, Nicholson S, Levinson W, et al. US Physician Practices Versus Canadians: Spending Nearly Four Times As Much Money Interacting With Payers. Health Affairs 2011 30:8, 1443-1450. Available at: https://www.healthaffairs.org/doi/pdf/10.1377/hlthaff.2010.0893 Accessed May 20, 2019.

3 2018 AMA Prior Authorization Physician Survey. February 2018. American Medical Association, Chicago, IL. https://www.ama-assn.org/system/files/2019-02/prior-auth-2018.pdf Accessed June 3, 2019.

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