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Points of Light 2025 Case Study 24
Reducing Administrative Burden & Time to Care Through Touchless Prior Authorization
Author
Boyd Stewart
Author
Aurene Wilford
Author
Sidnee Wood
Due to a lack of direct integration between Medical Mutual of Ohio’s portal and Ohio State University Wexner Medical Center’s EHR, the prior authorization process was time intensive and manual. Misalignment and mistrust between parties also contributed to difficulties, as automation required mutual collaboration. Rhyme acted as a third-party facilitator between the parties, working with them to develop an automated prior authorization process to reduce unnecessary administrative work. The stakeholders all collaborated to align themselves on goals and outcomes, ultimately leading to cost savings, increased approval rates, and decreased decision turnaround times.
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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
Writer
Natalie Hopkins
Designer
Jess Wallace-Simpson
Project Manager
Joel Sanchez
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.