August 10, 2022
The Biggest Prior Authorization Challenges in Post-Acute Care
by Susan Lawson-Dawson | Prior Authorization
You don’t have to look far to find evidence of the high administrative burdens faced by healthcare providers. According to JAMA, administrative costs account for 15% to 25% of total national health care expenditures—or $600 billion to $1 trillion a year. From benefits verification to billing, the processes that connect patients to the care they need involves substantial effort, with 88% of providers pointing to prior authorization as a ‘high’ or ‘extremely high’ burden. Recently, we hosted a panel discussion to talk about benefits verification and prior authorization from a post-acute care perspective. Moderated by our own Tyler Wince, Chief… Read entire article here
Let’s talk about Da Vinci. Not the artist, although he is a source of inspiration for everything from best-selling books to robotic surgical systems. (Not to mention, the namesake of a Teenage Mutant Turtle.) No, we’re talking about the Da Vinci Project, a private-sector collaborative working to define common interoperability standards for healthcare. An HL7 blog notes, “Under the leadership of over 45 prominent industry providers, payers and vendors, the growing Da Vinci community is standardizing the building blocks necessary to support organizations like yours to make the shift to value-based care (VBC) a reality.” What do HL7® FHIR® APIs… Read entire article here
July 14, 2022
3 Reasons to Add Automated Prior Authorization to Your SaaS Solution
by Susan Lawson-Dawson | Prior Authorization
Whether you provide healthcare practice management, revenue cycle management, EMR or LIMS software, today’s mostly-manual prior authorization process contributes to your customers’ revenue woes. Between the administrative costs and potential treatment delays or abandonment, managing prior authorizations puts the squeeze on their bottom line. On top of that, you have disruptive tech players entering the healthcare space on a daily basis. As a result, building a competitive moat turns into a necessity for customer retention, satisfaction and acquisition. Need proof? It was Warren Buffet who popularized the concept of competitive moats decades ago. The billionaire investment guru once said, “In… Read entire article here
The numbers tell the story. Preliminary data from the U.S. Bureau of Labor Statistics saw March job openings outpace new hires by more than 1.3 million. Perhaps even more concerning: 682,000 people left healthcare during the same period. A recent advisory from U.S. Surgeon General Vivek Murthy warns that burnout is a root cause of this ongoing exodus. Acknowledging that the pandemic amplified problems already contributing to burnout, Murthy notes, "... the response to burnout and health worker well-being must be multi-pronged. For example, a health worker may find it difficult to spend sufficient time with patients due to their… Read entire article here
