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Streamlining Prior Authorizations: An Update
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On Monday, dozens of healthcare providers have agreed to make fewer medical procedures subject to prior authorization while also agreeing to speed up the process. Insures are also pledging to use clearer language when communicating with patients and promised that medical professionals would review coverage denials. Keep in mind that this is not mandated by any law. This agreement does not spell out how it would would help the sickest patients or those who need expensive treatment. Most of this isn't new and some of the agreements have already been in place or required, such as under the ACA. Additionally, insurers are going to make more use of AI to help speed up the prior authorization process. The key take away is; the prior authorizations are not going away, but perhaps the process can be more efficient.
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