No matter how good your care management software platform is, there are a number of factors that may be contributing to suboptimal performance, especially our rapidly-evolving environment.
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The prior authorization – the process for gaining assurance that a medical procedure will be paid for by an administrator or insurance company before the service is delivered – is a major source of friction and dissatisfaction among all parties involved – providers, payers, and consumers. At a minimum, it creates administrative overhead, and at its worst, it can delay the delivery of care or even prevent care from being delivered at all.
Read Moreby Ironwood Health Principal Jonathan Bradley (as posted in Healthcare Musings by Gibson Consulting)
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