The high priority task ahead for both physicians as well as the payers alike is relaxing the burden in the prior authorization.
According to the prominent organizations gathered in Orlando, Florida for the HIMSS (Healthcare Information & Management Systems Society) annual conference, the key strategic initiative now will be to implement quality checks and balances and reduce increasing costs in authorization and verification process. Reflection of a new interest with a streamlined PA effort for payers, clinicians as well as patients was quite evident.
A lackluster approach with a lengthy prior approval process has a direct impact on the patients as they have to wait for the authorization to receive the treatment. BCBLA (Blue Cross Blue Shield Louisiana) quite recently, tried to look at a number of ways that can help them reform their prior authorization process.
A web-based survey was done by AMA in the month of December on 1000 physicians clearly suggested the toll on their patients with a time-consuming PA process. Almost 16 hours of physician time with staffs are consumed weekly on filing PA requests.
Two business days are lost as practices report to completion of 37 authorization requests on a weekly basis. Indeed, it is no surprise that the U.S healthcare industry is spending $31 billion annually on their current practices with prior authorization.
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