Operations
Patient care is a holistic solution as getting prior authorization doesn't help the patient who can't afford the medication, says Brian Smith, chief pharmacy officer at Shields Health Solutions.
CEOs of four health systems testified before the House Ways and Means Committee Tuesday morning.
Underlying shifts in payer mix resulting from the changes in the exchanges were generally in line with expectations, CEO Sam Hazen said.
AI is accelerating the volume of transactions without increasing efficiency, report finds.
A new partnership with NEJM and JAMA integrates peer-reviewed evidence with patient responses, says Abridge Clinical Strategy Director Matt Troup.
The approach will be used for medical services that are commonly subject to prior authorization, such as orthopedic surgeries and imaging services.
Rather than focusing on placing fixed assets in rooms, hospital leaders must create modular spaces that can adapt and change over time as new technologies are developed, says Sarah Hatchett, Cleveland Clinic CIO.
According to MaryAnn Connor, NYU adjunct informatics professor, and Olga Kagan, FANA CEO, healthcare leaders must reinforce core clinical skills alongside digital fluency to ensure nurses don't become dependent on AI tools.
AI is taking hold as a major driver in improving the member and provider experience, increasing productivity and reducing administrative burden.
The goal is to streamline the time for payers to approve prior authorizations, for patients to get their care and for providers to get paid, says Lalithya Yerramilli, SVP of Payment Solutions for Cohere Health.