Improving Turnaround Times Through Integrated Prior Authorization Workflows
Points of Light 2026 Case Study 2
Ochsner Medical Center in New Orleans, Louisiana Blue, and Epic streamlined prior authorization by enabling electronic delivery of authorization letters through Epic Payer Platform, eliminating paper, fax, and portal-based retrieval. By configuring workflows that transmit PDF letters alongside authorization decisions directly into the EHR—and to members via MyChart—the collaborators reduced turnaround times, enabled instant decision-making for most cases, and removed manual scanning and cataloging steps. Supported by daily coordination and staff training, the rollout delivered meaningful efficiency gains for Ochsner Medical Center in New Orleans, including 317 hours saved across 2,781 electronic requests and consistent, timely adjudication. Additionally, payer–provider alignment was strengthened for future expansion.
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Key Findings:
- Executive Summary
- The Collaborators
- Points of Friction—Challenges to Be Solved
- Action Plan—How the Collaborators Worked Together to Reduce Friction
- Points of Light—Outcomes Achieved Through Collaboration
- Lessons Learned—What Best Practices Can Other Organizations Replicate?
- What's Next?—Vision for the Future
Project Manager
Joel Sanchez
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