Efforts to transform prior authorization are at a critical crossroads: Will government mandates result in just compliance or catalyze national migration to FHIR-based electronic prior authorization (ePA)? The answer to this question cannot be found in the specifics of the regulation but instead resides in the level of trust between health plans and their network providers. There is a compelling ROI for health plans, but only if providers jettison ingrained workflows and embrace this new approach. Likewise, providers want to transform prior authorization but are wary of partial solutions that necessitate parallel workflows resulting in more work for them.
To help find common ground, InterSystems led a guided discussion with over 300 leaders from a cross-section of providers, health plans, and technology vendors at the recent WEDI Summer Forum in Chicago on essential functionalities an ePA solution must include to facilitate widespread provider adoption. In this webinar, executives from InterSystems and WEDI share findings and insights from this pointed discussion.
What you’ll learn:
- How comprehensive an ePA solution must be for widespread provider adoption
- How fast an ePA solution must be for widespread provider adoption
- How reliable an ePA solution must be for widespread provider adoption
- Do’s and don’ts when rolling out an ePA solution network-wide