"The new coalition includes insurers, hospitals and health records companies to streamline the process for reviewing medical procedures, known as prior authorization."
"Earlier this month, Oz wrote in a blog post that it's "way past time to axe the fax, kill the clipboard, and put patients over paperwork" via electronic prior authorization."
"And earlier this year, Medicare began AI-powered pre-treatment reviews for certain health services in an effort to root out unnecessary care in a handful of states, unnerving doctors."
"Traditional Medicare historically hasn't required prior authorization for most drugs or services, but the process became a hot-button issue in privately run Medicare Advantage plans over the administrative headache it caused doctors."
Insurers, hospitals, and health records companies are creating a coalition to streamline prior authorization, the process used to review medical procedures. The coalition aims to reduce friction in how providers submit and receive approvals. Dr. Oz called for eliminating fax and clipboard workflows and prioritizing patients over paperwork through electronic prior authorization. Medicare has begun AI-powered pre-treatment reviews for certain health services in some states to identify unnecessary care, which has unsettled doctors. Traditional Medicare generally does not require prior authorization for most drugs or services, but prior authorization has been a major issue in privately run Medicare Advantage plans due to administrative burden on clinicians.
Read at Axios
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