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Points of Light 2022 Case Study 13 Points of Light 2022 Case Study 13
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Points of Light 2022 Case Study 13
Collaboration Creates More Automated Prior Authorization for Orthopedic Practices

author - Boyd Stewart
Boyd Stewart
author - Lois Krotz
Lois Krotz
May 13, 2022 | Read Time: 1  minute

To combat a prior authorization process that was burdensome to patients, providers, and payers, the stakeholders in this case study worked together to provide a more automated process and incorporate suggested care plans into the provider workflow. The stakeholders kept the patient as the center of their focus, and the collaboration has not only led to faster access to care for patients but also reduced the administrative burden for the payer and provider organizations.

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Key Findings:

  1. Executive Summary
  2. The Collaborators
  3. Points of Friction—Challenges to Be Solved
  4. Action Plan—How the Collaborators Worked Together to Reduce Friction
  5. Points of Light—Outcomes Achieved through Collaboration
  6. Lessons Learned
author - Elizabeth Pew
Elizabeth Pew
author - Madison Moniz
Madison Moniz
author - Mary Bentley
Project Manager
Mary Bentley
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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.