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Points of Light 2025 Case Study 16 Points of Light 2025 Case Study 16
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Points of Light 2025 Case Study 16
Streamlining Prior Authorization Through Epic Payer Platform eMPA

author - Boyd Stewart
Author
Boyd Stewart
author - Aurene Wilford
Author
Aurene Wilford
 
May 13, 2025 | Read Time: 1  minute

Ballad Health was struggling to manage their prior authorization process and didn’t have the ability to invest in technology that would help them. Ensemble and UnitedHealthcare helped the healthcare organization implement Epic’s electronic medical prior authorization tool to streamline the prior authorization process and reduce the administrative burden for both the payer and healthcare organization. Using this tool has led to significant reductions in the time spent processing prior authorizations.

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Key Findings:

  1. Executive Summary
    • The Collaborators
  2. Points of Friction—Challenges to Be Solved
  3. Action Plan—How the Collaborators Worked Together to Reduce Friction
  4. Points of Light—Outcomes Achieved Through Collaboration
  5. Lessons Learned—What Best Practices Can Other Organizations Replicate?
  6. What's Next?—Vision for the Future
author - Natalie Hopkins
Writer
Natalie Hopkins
author - Jess Wallace-Simpson
Designer
Jess Wallace-Simpson
author - Joel Sanchez
Project Manager
Joel Sanchez
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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. © 2025 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.