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Category: Healthcare Technology

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April 25, 2023

Navigating Biomarker Obstacles: The Role of Prior Authorization Software in Personalized Cancer Therapy

by Susan Lawson-Dawson | Healthcare Technology, Prior Authorization

Between 2000 and 2018, the use of biomarkers in oncology clinical trials grew from 15% to 55%, for good reason. The use of biomarkers in cancer care enables personalized treatment options, revolutionizing the way oncologists diagnose and treat cancer patients. Biomarkers can help identify the most effective therapies for individual patients. Despite the proven benefits of biomarker testing, however, many cancer patients still face barriers to accessing this essential tool due to prior authorization. By automating the prior authorization process, oncologists can expedite personalized cancer care, increasing the chances of successful outcomes and reducing unnecessary treatments.  Prior authorization creates roadblocks… Read entire article here

April 11, 2023

Disrupting Healthcare Inequality: How Prior Authorization Software Levels the Playing Field for Patients

by Susan Lawson-Dawson | Healthcare Technology, Prior Authorization

Recently, Jay Bhatt, the director of Deloitte’s Health Equity Institute, told Chief Healthcare Executive,“For the first time that I can remember in my lifetime, I can see greater alignment of stakeholders around health equity than I’ve ever seen before.”  While payers, providers and government agencies seem to be on the same page, the fact remains that achieving health equity demands significant change. Prior authorization, a process in which healthcare providers must obtain approval from payers  before delivering certain treatments or services, can sometimes act as a barrier to achieving health equity. So let’s take a closer look at why health… Read entire article here

April 11, 2023

How Does Prior Authorization Software Support Growth for Ambulatory Surgical Centers?

by Susan Lawson-Dawson | Healthcare Technology, Prior Authorization

The Ambulatory Surgical Centers (ASC) market has been witnessing steady growth in recent years. Back in 2010, 48% of outpatient surgical procedures took place in ASCs. By 2019, that figure rose to 60%. Then the pandemic hit, further accelerating growth of ASCs. More traffic, however, likely means more prior authorizations so ASCs need to consider how to efficiently manage growing administrative demands that will otherwise shrink their margins further. That’s where prior authorization software can help.  Before diving into the benefits of prior authorization for ASCs, let’s take a closer look at the trends behind the expanding popularity of ASCs. … Read entire article here

April 10, 2023

Quick Wins: 5 Service Lines that Make the Most Sense for Prior Authorization Software

by Susan Lawson-Dawson | Healthcare Technology

Medical providers frequently point to the pursuit of prior authorization as a factor contributing to clinician burnout. Let’s face it: clinicians don’t pursue medical degrees because they love doing paperwork; they want to help patients. And the frustration caused by prior authorization impacts front and back office staff too. This is particularly true when it comes to service lines that rely heavily on prior authorization. Prior authorization software can help.   High volume services lines demand high efficiency solutions By targeting service lines that handle high volumes of prior authorizations, even those that are relatively simple and routine, automation can yield… Read entire article here