Our healthcare landscape is riddled with challenges. Recently, research has called attention to a growing problem: patient discharge delays. An increase in the length of patient stays in hospitals creates capacity issues and delays in new patient admissions. This scenario not only strains hospital resources, but it also has adverse effects on patient health. The culprit? A range of factors contribute—from prior authorization delays and denials to staffing shortages. Prior authorization software can help turn the tide. Before we dive into how, let’s look at the challenges at hand. Patients stays on the rise, according to AHA report A December… Read entire article here
Is your prior authorization process due for an upgrade? Time and again, we’ve seen surveys and analyses that highlight rampant inefficiencies in today’s primarily manual process. The lack of interoperability contributes. So do inconsistent standards for prior authorization across payers. As a result, providers—and the patients they serve—get bogged down in administrative paperwork that contributes to treatment delays or worse. In fact, reports Fierce Healthcare, 91% of physicians say that prior authorizations have a negative impact on patient clinical outcomes. Legislation and regulations to address prior authorization are on the horizon, but let’s face it—enacting and enforcing those rules will… Read entire article here
Patient engagement is a fundamental pillar of value-based care organizations, playing a crucial role in achieving better healthcare outcomes and overall patient satisfaction. To optimize this engagement, healthcare providers are leveraging innovative solutions, including automated prior authorization and psychographic segmentation of healthcare consumers. A streamlined prior authorization process, combined with valuable insights into patient behaviors, can strengthen care plan compliance and patient involvement in the healthcare journey. Prior authorization causes more than an administrative burden for providers Providers point to administrative bottlenecks as one of the biggest hurdles caused by prior authorization. But the paperwork predicament leads to bigger problems… Read entire article here
We recently connected with Brent Walker, Senior Vice President of Consumer Science and Psychographics at UpFront to discuss value-based care (VBC) and how improving patient engagement and automating prior authorizations can create momentum for the shift away from fee-for-service models. Let’s dig into what Brent had to say. Turning B-to-C experience into a patient engagement solution Brent previously held the role of SVP, Marketing, but psychographics are in his DNA. He began his decades-long career within healthcare when he joined Procter & Gamble (P&G) after college. Assigned to a brand management role for P&G’s over-the-counter (OTC) healthcare business, Brent quickly… Read entire article here
