What You Should Know:
- GuideWell, one of the 10 largest health insurance providers in the U.S., became the first U.S. payer to automate prior authorization approvals through AI-powered clinical reviews from Olive, resulting in faster care for patients — up to 10 days faster — and greater provider satisfaction.
- After launching a pilot with Olive in Florida, GuideWell saw its time to decision reduced by 10 days when immediate responses were available, decreased unnecessary prior
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Automated Prior Authorizations
Cohere Health, Humana Expand Partnership to Transform Prior Authorization Process
What You Should Know:
- Cohere Health announced that Humana Inc. is embarking on a nationwide expansion of Cohere's digital prior authorization platform for musculoskeletal (MSK) services, based on the success of its initial implementation.
- After rolling out the platform across 12 states in January 2021, Humana has made significant progress toward achieving its vision to reimagine and modernize processes for prior authorization by reducing approval times, increasing provider
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XIFIN Expands Patient and Physician Engagement Capabilities
XIFIN announced the expansion of its portfolio of physician and patient engagement solutions with integrated patient responsibility estimation and automated prior authorization capabilities, enabling diagnostic providers to improve their patient experience and physician satisfaction. The new capabilities include a strategic partnership with Glidian that integrates automated prior authorization capabilities with XIFIN’s revenue cycle management and laboratory information system solutions, XIFIN
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Inova Personalized Health Accelerator Invests in Prior Authorization Platform, CoverMyTest
Inova Personalized Health Accelerator (IPHA), an unique program providing health IT entrepreneurs with C-suite coaches, early-stage capital and strategic partners, today announced it has invested in health IT startup CoverMyTest. The New York-based startup partners with labs to optimize and automate prior authorization (PAs) workflows.CoverMyTest is the only PA service provider solely focused on assisting laboratories offering genetic and genomic testing. This PA software comes at a critical
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3 Key Areas An Automated Prior Authorization Solution Must Address
Editor's Note: Co-written by Scott Herbst, Senior Vice President and General Manager of Provider Solutions and Ryan Miller, Senior Vice President of Strategy & Corporate Development at Availity.Prior authorizations may be as popular among providers as ants at a picnic, but they have become a common and necessary part of the reimbursement process. As a result, being able to manage prior authorizations efficiently is critical to maintaining a healthy revenue cycle and avoiding issues such as
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