Reducing Friction, Not Just Tasks: A New Approach to Prior Authorization

Thursday, October 15
12:00 PM - 1:00 PM CDT
  • TJ Burdine

    Presenter

    TJ Burdine

    Principal, Optum Advisory Margin Transformation

    Optum

  • Tyler Graham

    Presenter

    Tyler Graham

    Product Director, Digital Authorization Complete

    Optum

Many prior authorization initiatives focus on doing the same work faster. But what if instead of speeding up tasks, you could eliminate unnecessary work altogether?

Authorization requirements are growing more complex. For healthcare organizations, that means looking beyond traditional automation to create better experiences for staff and patients. Isolated solutions can help accelerate existing processes. But using AI and orchestrating workflows can address the root causes of friction.

This session examines how healthcare leaders are redesigning prior authorization workflows to improve decision-making, reduce rework and create a more connected experience across patient access, clinical and revenue cycle operations.

Discussion will cover:

  • Common sources of friction, delays and rework within prior authorization workflows
  • Emerging AI strategies that support more proactive and intelligent authorization management
  • The shift from task-based automation to end-to-end workflow orchestration
  • How stronger payer-provider connectivity can streamline authorization and reduce administrative burden