You can’t deny that acronyms, abbreviations, and unusual lingo abound in healthcare. Add technology to the mix, and you’re wading into a confusing alphabet soup of terms. We tackled a few in our blog about the Da Vinci standards. Today, we’ll expand on words you may run across when exploring prior authorization software options. Key Players in the Interoperability Arena CMS: In addition to being the “payer” for millions of Americans, the Centers for Medicare and Medicaid, aka CMS, plays a central role in advancing interoperability and reducing the administrative burdens. Those administrative burdens contribute an estimated 15-25% of total… Read entire article here
January 16, 2023
How Prior Authorization Software Takes Your Patients’ Intake Experiences to a New (Nicer) Place
by Susan Lawson-Dawson | Prior Authorization
The transition from patients to healthcare consumers has been underway for a while, but in the wake of the pandemic, the process accelerated. By the end of 2021, the tide had shifted in favor of consumerism. Reporting on a survey by healthcare experience analytics firm Press Ganey, Forbes noted that results revealed “... the ascendance of consumer shopping behavior—and its potential importance to healthcare providers.” Adopting digital solutions like prior authorization software can help to set the right tone from the start. But first, let’s take a look at why and how patient expectations have changed. Providers face a higher… Read entire article here
Recently the Association for Clinical Oncology (ACO) released the results of a 2022 survey on prior authorization and cancer treatments. The findings support what we already know: prior authorizations create an administrative burden for providers and impede critical care for patients diagnosed with cancer. Take a closer look at the challenges uncovered by the survey and learn how prior authorization software addresses barriers to optimal cancer care. Prior Authorizations Demand Full-Time Attention In an article about the survey results, OncLiveⓇ explains, “Settings of the participants were well balanced across community or hospital-based health network (35%), private practice (34%), and academic… Read entire article here
A few decades ago, healthcare lagged well behind banking, retail and other industries when it came to digital transformation. Passage of the Health Information Technology for Economic and Clinical Health (HITECH) Act in 2010 put healthcare providers on the path for adoption and meaningful use of health IT. According to the Office of the National Coordinator for Health Information Technology (ONC), only 9% of non-federal acute care hospitals and 17% of office-based physicians had adopted EHRs in 2008. By 2021, those numbers hit 96% and 78% respectively. The journey has not been easy. When healthcare providers began making the switch… Read entire article here