More than 40 payers have voluntarily signed onto to pact to transform prior authorization processes. Here is a breakdown of the six commitments at the core of the initiative.
In response to years of mounting frustration from providers, policymakers, and patients, an AHIP-led coalition of more than 40 payers has promised to transform prior authorization (PA) processes. The agreement is built on six core commitments aimed at reducing administrative burden and streamlining approvals for medically necessary care.
While revenue cycle leaders are skeptical that payers will follow through on the promise, if realized, "it would cut down on delays and reduce friction for both providers and patients," as Seth Katz, vice president of revenue cycle and HIM at University Health Kansas City, told HealthLeaders.
Check out the commitments that payers have made in the infographic below, or read more here.
Luke Gale is the revenue cycle editor for HealthLeaders.
KEY TAKEAWAYS
More than 40 payers have signed onto an AHIP-led initiative to transform prior authorization processes.
Six specific commitments are at the core of the initiative, aimed at reducing administrative burden and streamlining approvals for medically necessary care.
Revenue cycle leaders remain wary, but are hopeful that the initiative will "cut down on delays and reduce friction."