Healthcare Automation: Why Fixing This One Process Can Transform Patient Care

Prior authorization is a cost-control process that’s in place for a reason. It ensures doctors and other healthcare providers will get reimbursed by insurance companies for costly procedures. Insurance companies want to protect their profit and process fewer patient claims. All these steps are put in place to ensure that a patient truly needs an expensive treatment or medication. But as more guardrails go up, the harder it is for providers to give care or patients to get care.According to a study by the American Medical Association, prior authorization, or delayed and disrupted care, “has become a predictable and miserable part of the patient experience” that "continues to negatively impact the delivery of necessary medical treatments, jeopardize quality care, and harm patients.”