KLAS: What Impact Do Automated Prior Authorization Solutions Provide?

KLAS: What Impact Do Automated Prior Authorization Solutions Provide?

What You Should Know:– Prior authorization is mandated by payers to ensure that certain clinical procedures and medications being ordered are necessary. To alleviate the heavy administrative burden this requirement causes, healthcare organizations have adopted automated prior authorization solutions.– For this report, KLAS interviewed 30 respondents from 26 unique organizations to understand their experiences using these solutions and what outcomes they have seen.Understanding the Impact Automated Prior Authorization Solutions ProvideThis report is a perception study designed to help readers understand where the automated prior authorization market is and what outcomes organizations using automated prior authorization are seeing. To gather these perspectives, KLAS…

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Vendor Notebook: new tools and acquisitions from OptumRx, ScionHealth, others

Vendor Notebook: new tools and acquisitions from OptumRx, ScionHealth, others

It’s a new year, and healthcare technology vendors are rolling out their latest innovations, market approvals, acquisitions and staffing shake-ups.OptumRx launched Price Edge, a tool that compares pricing for traditional generic drugs to ensure members get the lowest prescription drug prices. A suite of new tools for both patients and providers target aspects of pharmacy logistics that have been known to delay or complicate care, such as getting real-time pharmacy benefits information and obtaining prior authorizations. In October, Optum, UnitedHealth Group’s pharmacy services company, merged with data clearinghouse Change Healthcare. The U.S. Department of Justice tried to block the merger and is appealing the…

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What's ahead for health IT policy and legislation in 2023 

What’s ahead for health IT policy and legislation in 2023 

With Congress providing telehealth waivers as part of its omnibus spending bill at the close of 2022, delaying the “telehealth cliff” for two years, HIMSS says it’s now ready to make the case for permanent reimbursement of virtual care.Also on its policy agenda for the year ahead: advocating for data standardization, offering input for interoperability rulemaking and engaging with agencies and states to increase telehealth access. We spoke with the HIMSS government relations team for their thoughts on those priorities and more in 2023 and beyond.
Making telehealth’s case for cost control
Telehealth has proven to reduce burdens on healthcare providers and improve…

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