850-Bed Tertiary Care Health System in Michigan uses PriorAuthNow to Increase Staff Productivity Over 200%
The manual prior authorization process created significant negative impacts for a centralized authorization department at a health system in Michigan.
Achieved over 200% improvement in staff productivity
Saved 55% on prior auth processing staffing costs
Achieved a 40% increase in prior auth determinations every month
Manual Prior Authorizations Create Significant Negative Impacts for Health Systems
The burden of a manual medical prior authorization process was significantly impacting 120 authorization specialists in the centralized authorization department at a 850-bed tertiary care health system in Michigan. Processing 13,000 auths per month manually was creating high turnover for the team and affecting patient care. They needed an automated prior authorization process to ultimately help their authorization specialists become more efficient and provide timely care to patients.
Seeking a Solution
The health system sent out a Request for Proposal asking potential vendors to implement a real-time automation (RTA) solution. The RTA solution needed to allow the authorization team to:
Three Key Differentiators Set PriorAuthNow Apart from Other Solutions on the Market
Dramatic Results with PriorAuthNow
The health system was able to see positive impact soon after go-live with PriorAuthNow.
Improvement in staff productivity
Savings on prior auth processing staffing costs
Increase in prior auth determinations every month
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