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Tag: Oncology

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June 7, 2023

Prior Authorization Software in Oncology: Improving Patients’ Access to Vital Treatments

by Susan Lawson-Dawson | Healthcare Technology, Prior Authorization

The American Cancer Society expects newly diagnosed cancer cases in 2023 to exceed 1.9 million—and that figure doesn’t even factor in skin cancers not subject to reporting. The good news: The cancer death rates have been on the decline. Between 1991 through 2020, the rate dropped by 33%, thanks in large part to early detection and treatment advances. What hasn’t declined is the volume of prior authorizations required. If anything, volume is higher than ever as payers try to control costs through utilization management.  As a result, says Oncology Insights, 70% of oncologists report needing full-time staff to manage prior… Read entire article here

May 22, 2023

Taming the Beast: Prior Auth Software Wrangles Constant Payer Policy Changes For You

by Susan Lawson-Dawson | Healthcare Technology, Prior Authorization

Every year since 2016, Medical Group Management Association (MGMA) members have reported an increase in prior authorization requirements. The volume alone poses a big challenge. Add in constantly changing payer policies and keeping pace with the volume becomes even more challenging. Prior auth software overcomes those hurdles by making the information you need more accessible.  New prior authorization policy ignites concerns Beginning June 1, UnitedHealthcare plans to introduce prior authorization for colonoscopies. The March announcement, which ironically took place during Colorectal Cancer Awareness Month, ignited concerns among gastroenterologists who say the new policy creates barriers for patients seeking surveillance and… Read entire article here