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Automated Prior Authorization 2023
What Impact Do Automated Prior Authorization Solutions Provide?
Author
Dustin Cragun
Author
Alex McIntosh
Author
Tyler Sycamore
Prior authorization is mandated by payers to ensure that certain clinical procedures and medications being ordered are necessary. To alleviate the heavy administrative burden this requirement causes, healthcare organizations have adopted automated prior authorization solutions. For this report, KLAS interviewed 30 respondents from 26 unique organizations to understand their experiences using these solutions and what outcomes they have seen.
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Key Findings:
- Automated Prior Authorization Improves Financial Performance and Staff Efficiency
- Expansive Use of Automated Prior Authorization Leads to Higher Satisfaction
- Customers Want Further Streamlined Workflows, Are Hopeful for Future Improvement
- Some Friction between Prior Authorization Vendors & Payers; Most Provider Organizations See No Change in Their Payer Relationships from Prior Authorization Solutions
Writer
Natalie Hopkins
Designer
Bronson Allgood
Project Manager
Ethan Lui
This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2024 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.