Did you know that April is “Stress Awareness Month”? The designation first began in 1992, but stress, burnout, and mental health weren’t exactly headline news back then. Times certainly have changed. As in other areas of life, the COVID-19 pandemic exposed and exacerbated stress—especially among the healthcare workforce—but it also acted as a catalyst, bringing more visibility to the issue. Stress is a major contributor to health issues, including mental and physical conditions. In the workplace, stress can lead to decreased productivity, increased absenteeism, and poor morale. One area where stress is especially prevalent is in healthcare organizations, and that’s… Read entire article here
March 30, 2023
Game Changer Alert: Automated Prior Authorization Leaves Electronic Methods in the Dust
by Susan Lawson-Dawson | Prior Authorization
Public payers—Medicare, Medicare Advantage , Medicaid, and the Children's Health Insurance Program—provide healthcare coverage for members that qualify based on income, age, special needs factors. Private payers like Aetna, Blue Cross Blue Shield, Cigna and hundreds of others offer health insurance coverage through employee-sponsored plans as well as individual plans marketed directly to consumers by individual payers or through the healthcare.gov marketplace. And every single one of them uses prior authorization to manage utilization and reduce costs. Unfortunately, the current prior authorization process requires a lot of manual effort, sometimes helped along with electronic prior authorization (ePA). But it’s a… Read entire article here
March 14, 2023
Myndshft Advocates for Da Vinci Standards in Public Comments to CMS Proposed Prior Authorization Rule
by Susan Lawson-Dawson | News
The public comment period just closed for the Centers for Medicare and Medicaid Services’ (CMS) proposed rule on “Advancing Interoperability and Improving Prior Authorization Processes.” And as of 11:59 PM March 13, the CMS had received close to 1,000 comments, including one from Myndshft. Below is a quick recap of our response. Want more details? Check out our Myndshft response to the CMS request for public comment in its entirety. Addressing prior authorization crucial for value-based care success Rampant process inefficiencies slow progress toward value-based care. Today’s manual prior authorization process is time-intensive and costly, and that won’t change without… Read entire article here
March 7, 2023
Preparing for the Gray Tsunami: Benefits of Prior Authorization Software for Long-Term Care and Home Health Care Organizations
by Susan Lawson-Dawson | Healthcare Technology, Prior Authorization
According to the U.S. Census Bureau, by 2050 the number of Americans aged 65 and older will hit 83.7 million. That’s a huge leap since 2011, when the first Baby Boomers began turning 65. Is it any surprise that the retirement “coming of age” for Baby Boomers has been called a gray tsunami? Unlike a tsunami in nature which happens with little warning, however, we know that this wave is coming. How does prior authorization software help long-term care and home health care providers manage the rising tide of demand? Higher healthcare needs increase administrative burden More patients over the… Read entire article here
