Prior authorization

Myndshft and TrueMed IT Announce Partnership to Bring Real-Time Benefit Checks to Diagnostics and Genomics Labs

Retrieved on: 
Monday, February 24, 2020
Health, Articles, Information systems, Healthcare in the United States, Health informatics, Health insurance in the United States, Healthcare software, Laboratory information management system, Prior authorization, LIMS

MESA, Ariz. and DALLAS, Feb. 24, 2020 /PRNewswire/ -- Myndshft Technologies, a leading provider of real-time benefit check and prior authorization technology for diagnostic and genomics labs today announced a partnership with laboratory information management system (LIMS) provider, TrueMed IT.

Key Points: 
  • MESA, Ariz. and DALLAS, Feb. 24, 2020 /PRNewswire/ -- Myndshft Technologies, a leading provider of real-time benefit check and prior authorization technology for diagnostic and genomics labs today announced a partnership with laboratory information management system (LIMS) provider, TrueMed IT.
  • The partnership will enable TrueMed IT's laboratory customers to improve patient and physician satisfaction, boost staff efficiency and reduce the risk of payment denials.
  • "The Myndshft-TrueMed IT partnership solves a problem plaguing labs today," said Ron Wince, CEO of Myndshft.
  • "Up until now, lab staff have had to jump in and out of different portals to perform benefit checks.

CoverMyMeds' New Integration with Epic MyChart Offers Prescription Price Transparency and Prior Authorization Tracking

Retrieved on: 
Thursday, February 20, 2020
Health, Articles, Clinical pharmacology, Health insurance in the United States, Healthcare in the United States, Managed care, Prior authorization, Pharmacy, Medical prescription, Electronic prescribing

CoverMyMeds' integration with MyChart enables patients to see where their medication is within the prior authorization process, evaluate the cost of their prescription and access available prescription discount cards.

Key Points: 
  • CoverMyMeds' integration with MyChart enables patients to see where their medication is within the prior authorization process, evaluate the cost of their prescription and access available prescription discount cards.
  • Historically, patients have not had visibility into their medication prior authorization status, a process that impacts an estimated 406 million prescriptions each year.1,2 CoverMyMeds' integration with MyChart enables patients to see if the prior authorization is in progress, if their medication is available for pickup or if the prior authorization is declined.
  • In some instances, paying the cash price for a medication is more cost effective than using insurance and eliminates the need for prior authorization.
  • For more information about CoverMyMeds' integration with MyChart, visit the Epic App Orchard .

WEDI Shares Results of Prior Authorization Survey in Testimony to NCVHS

Retrieved on: 
Thursday, January 23, 2020
Health insurance in the United States, Healthcare in the United States, Managed care, Prior authorization, WEDI

In the meeting, Jay Eisenstock, Chair of the WEDI Board of Directors, shared how the results highlighted technology limitations, increased PA requirements and the desire for mandated standards.

Key Points: 
  • In the meeting, Jay Eisenstock, Chair of the WEDI Board of Directors, shared how the results highlighted technology limitations, increased PA requirements and the desire for mandated standards.
  • The survey, conducted by the WEDI Prior Authorization Subworkgroup in August 2019, analyzed the current medical services' prior authorization process and will be used to develop guiding principles to support increased automation and standardization.
  • "The efforts of the WEDI Prior Authorization Subworkgroup not only help to guide future regulations but provide an important examination into existing processes as our nation's providers, payers and vendors navigate the evolving requirements of prior authorization," said Eisenstock.
  • "While the industry has made great progress, this survey shows how much more work there is to be done to clarify and standardize prior authorization workflows.

Verata Health CMO to Speak at HFMA Revenue Cycle Conference

Retrieved on: 
Wednesday, January 15, 2020
Regions of the United States, Healthcare in the United States, United States, Tailevu Province, Verata, New England Baptist Hospital, RHODE ISLAND, Prior authorization

BOSTON, Jan. 15, 2020 /PRNewswire-PRWeb/ --Dr. YiDing Yu, Chief Medical Officer at Verata Health, will be presenting with Jon Shaker of New England Baptist Hospital (NEBH), at the HFMA Massachusetts-Rhode Island Revenue Cycle Conference on Friday, January 17, 2020.

Key Points: 
  • BOSTON, Jan. 15, 2020 /PRNewswire-PRWeb/ --Dr. YiDing Yu, Chief Medical Officer at Verata Health, will be presenting with Jon Shaker of New England Baptist Hospital (NEBH), at the HFMA Massachusetts-Rhode Island Revenue Cycle Conference on Friday, January 17, 2020.
  • "We've partnered with Dr. YiDing Yu and Verata Health to dramatically increase patient access, reduce write-offs, and decrease turnaround times for prior authorizations.
  • Its two-day Massachusetts-Rhode Island Revenue Cycle Conference, "2020 Vision: See Your Revenue Cycle Succeed!"
  • Verata Health is a physician-led company changing the way medical practices and hospitals tackle the challenges presented by obtaining prior authorization.

Electronic Prior Authorization Case Study by Agadia Results in a 50% Decrease in PA Phone Volume

Retrieved on: 
Monday, January 13, 2020
Health, Articles, Healthcare in the United States, Health insurance in the United States, Managed care, Prior authorization, Utilization management, United States Environmental Protection Agency

Agadia, a healthcare technology solutions provider supplying Health Plans and PBMs with innovative utilization management solutions,has published a case study showcasing the immense value in implementing electronic prior authorization technology through Agadia's leading solution, PAHub.

Key Points: 
  • Agadia, a healthcare technology solutions provider supplying Health Plans and PBMs with innovative utilization management solutions,has published a case study showcasing the immense value in implementing electronic prior authorization technology through Agadia's leading solution, PAHub.
  • The Health Plan in this case study had been leveraging PAHub to control all clinical, compliance and administrative aspects of Prior Authorization at the point-of-care to reduce turn-around times, integrate in real-time with leading enterprise systems and EMR vendors, and increase productivity.
  • To deliver imperative information to providers with a reduced turn-around time, this Health Plan opted to implement the ePA functionalities within PAHub.
  • Used by the nation's largest health plans and PBMs, Agadia's advanced technology solutions help drive operational efficiency, appropriate utilization, compliance, and profitability.

New Fast PATH Initiative Aims to Improve Prior Authorization for Patients and Doctors

Retrieved on: 
Monday, January 6, 2020
Surgery, Technology, Software, Practice Management, Health, Public policy, Government, Healthcare reform, Pharmaceutical, Other Policy Issues, Public policy, Professional services, Insurance, Managed care, Health, Articles, Pharmacy, Healthcare in the United States, Health insurance in the United States, Managed care, Prior authorization, Health insurance, Medicine, Surgery, Prescription drug

Today, Americas Health Insurance Plans (AHIP), along with several of our member insurance providers, is launching the Fast Prior Authorization Technology Highway (Fast PATH) initiative to improve the prior authorization process.

Key Points: 
  • Today, Americas Health Insurance Plans (AHIP), along with several of our member insurance providers, is launching the Fast Prior Authorization Technology Highway (Fast PATH) initiative to improve the prior authorization process.
  • Fast PATH aims to employ technology in the physicians office to improve connections between insurance providers, doctors offices, and other care settings.
  • This new initiative will rely upon the proven automated technologies of both Availity and Surescripts to speed prior authorization requests, responses, and information exchange.
  • Fast PATH will address two common but critical prior authorization applications one focused on prescription medications, and the other on medical and surgical procedures.

Secure Exchange Solutions Automates Clinical Data Analysis Evaluation to Help Solve the Prior Authorization Challenge for Provider and Payer CIOs

Retrieved on: 
Tuesday, December 17, 2019
Healthcare in the United States, Health insurance in the United States, Managed care, Prior authorization

ROCKVILLE, Md., Dec. 17, 2019 /PRNewswire/ --Secure Exchange Solutions (SES)a leading provider of cloud-based clinical data exchange and Artificial Intelligence (AI) powered technologies, is helping organizations solve the prior authorization challenge by integrating secure data exchange and analysis solutions into existing workflows.

Key Points: 
  • ROCKVILLE, Md., Dec. 17, 2019 /PRNewswire/ --Secure Exchange Solutions (SES)a leading provider of cloud-based clinical data exchange and Artificial Intelligence (AI) powered technologies, is helping organizations solve the prior authorization challenge by integrating secure data exchange and analysis solutions into existing workflows.
  • The SES suite of data exchange solutions is designed to do just that -improve efficiencies and streamline care, while lowering cost.
  • "Technology investments to automate the prior authorization process is the natural next step for healthcare payers and providers," said Dan Kazzaz, CEO, Secure Exchange Solutions.
  • Hospitals, health systems, physicians, health plans and application partners rely on Secure Exchange Solutions for integrated secure communications that expand their reach.

Nearly a Quarter of a Million Prescribers Using Surescripts Prescription Price Transparency Tool to View Patient Medication Cost Information

Retrieved on: 
Wednesday, December 4, 2019
Technology, Medical Supplies, Hospitals, Networks, Practice Management, Managed care, General Health, Pharmaceutical, Health, Data management, Health, Articles, Clinical pharmacology, Pharmacy, Healthcare quality, Pharmaceuticals policy, Medical terminology, Medical prescription, Adherence, Prior authorization, Electronic prescribing, Prescription drug prices in the United States, Technology, Medical Supplies, Hospitals, Networks, Practice Management, Managed care, General Health, Pharmaceutical, Health, Data management, Health, Articles, Clinical pharmacology, Pharmacy, Healthcare quality, Pharmaceuticals policy, Medical terminology, Medical prescription, Adherence, Prior authorization, Electronic prescribing, Prescription drug prices in the United States

In 2019, major progress was made in delivering price transparency to patients nationwide, with nearly 250,000 prescribers leveraging patient medication cost information when prescribing, according to the new Surescripts 2019 Impact Report: Prescription Price Transparency .

Key Points: 
  • In 2019, major progress was made in delivering price transparency to patients nationwide, with nearly 250,000 prescribers leveraging patient medication cost information when prescribing, according to the new Surescripts 2019 Impact Report: Prescription Price Transparency .
  • Real Time Benefit Tools (RTBTs), like Surescripts Real-Time Prescription Benefit , help improve outcomes, reduce costs, increase medication adherence and enhance patient and provider satisfaction.
  • Prescribers using Surescripts Real-Time Prescription Benefit are able to access patient-specific cost and coverage information, including out-of-pocket costs, prior authorization flags and therapeutic alternatives within their electronic health record.
  • To learn more about the impact prescription price transparency tools continue to have on the cost, quality and safety of healthcare, download and share the 2019 Impact Report: Prescription Price Transparency .

Verata Health Named Leading Innovative Artificial Intelligence Company by the American Hospital Association

Retrieved on: 
Tuesday, December 3, 2019
Articles, Health in the United States, Health insurance in the United States, Healthcare in the United States, Managed care, Prior authorization, Verata, AHA, Artificial intelligence, American Hospital Association

CHICAGO, Dec. 3, 2019 /PRNewswire-PRWeb/ --Verata Health, the AI-powered platform developed to automate and streamline prior authorization for health care procedures, tests, and drugs, was selected by the American Hospital Association (AHA) as one of the most innovative artificial intelligence companies of 2019.

Key Points: 
  • CHICAGO, Dec. 3, 2019 /PRNewswire-PRWeb/ --Verata Health, the AI-powered platform developed to automate and streamline prior authorization for health care procedures, tests, and drugs, was selected by the American Hospital Association (AHA) as one of the most innovative artificial intelligence companies of 2019.
  • Verata will be recognized for its innovation in health care AI at the AHA Executive Forum December 3rd in Chicago.
  • Verata Health is a Minnesota-based, physician-led company changing the way medical practices, hospitals, and payers tackle the challenges of prior authorization.
  • By leveraging powerful artificial intelligence, Verata Health automates both simple and complex prior authorizations, delivering immediate financial value and helping patients get the care they deserve.

iSalus Healthcare Collaborates with CoverMyMeds to Offer Prescription Price Transparency and Electronic Prior Authorization

Retrieved on: 
Tuesday, November 26, 2019
Health, Medicine, Healthcare in the United States, Patient safety, Electronic health record, Prior authorization, Medical prescription, Electronic prescribing, Pharmacy management system

INDIANAPOLIS, Nov. 26, 2019 /PRNewswire/ --iSalus Healthcare, in an effort to continue improving the workflow efficiencies of its partners, announced a collaboration with CoverMyMeds to integrate its leading prescription price transparency and electronic prior authorization (ePA) solutions into iSalus' cloud-based practice management and electronic health record (EHR).

Key Points: 
  • INDIANAPOLIS, Nov. 26, 2019 /PRNewswire/ --iSalus Healthcare, in an effort to continue improving the workflow efficiencies of its partners, announced a collaboration with CoverMyMeds to integrate its leading prescription price transparency and electronic prior authorization (ePA) solutions into iSalus' cloud-based practice management and electronic health record (EHR).
  • CoverMyMeds is widely relied on in the medical industry to display the most accurate prescription price information through RxBenefit Clarity and streamline the prior authorization process for prescriptions at the point of care.
  • "Our providers care deeply about delivering quality care to all of the patients that they serve," said Michael Hall, President of iSalus.
  • For more information about CoverMyMeds' price transparency and electronic prior authorization solutions, visit www.covermymeds.com .