Kyle Chilton and Dustin Cragun discuss Prior Authorization.
Discussion on why burnout and staffing shortages mean healthcare organizations need prior authorization. They simply don't have staff to be able to do the intense administrative task of making sure they understand every payer's system and what care they will and won't pay for.
As with any market segment, there have been both successful use cases as well as difficulties in solution implementation. Successful use cases usually occur when both the vendor partern is committed to helping an organization with the organization understanding they have a vested interest in making sure they have a great understanding of the system as well.