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