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Adhering to cost-effective, evidence-based care through improvements to the pre-authorization process

 

The pre-authorization process plays a critical role in ensuring healthcare consumers receive necessary care while controlling overall healthcare costs. But it’s still a largely manual process and a major source of provider frustration. According to a 2019 survey by the American Medical Association, 91% percent of physicians say the pre-authorization process sometimes, often, or always results in delays in necessary healthcare.

In 2018, Regence set out to redesign its pre-authorization process to increase efficiency and reduce administrative burden for providers, while also reducing wait time for members.

Download this white paper to learn:

  • How Regence’s quantitative and qualitative research informed their decision making  
  • How automated tools helped streamline workflows      
  • The results of the 15-month pilot
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 Regence White Paper

 
 

 
 
 
 
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