ICYMI, Oron Afek was recently featured in an interview with HIT Consultant Media about the growing challenge of healthcare claim denials and prior authorization requirements. In Oron’s words, “Healthcare providers can’t tackle these challenges in a silo. They must challenge payers to support and sponsor technology and AI-backed automation that fits within their day-to-day workflows—no more separate out-of-workflow portals or manual submissions.” Read more insights in the full interview here: https://lnkd.in/gRkH798i #HealthcareInnovation #Automation #PriorAuthorization #PatientCare #AIInhealthcare
The rising tide of claim denials and prior authorization requirements is placing a heavy burden on healthcare providers and their patients. I recently spoke with HIT Consultant Media about why these issues persist and, more importantly, how to address them. Here's how we can start solving these challenges: - AI and automation can simplify workflows, easing the administrative load and allowing providers to spend more time on patient care. - Integrated systems make data accessible and accurate, allowing real-time policy alignment and reducing errors that lead to denials. - Payer-provider partnerships are crucial. For example, making payer adjudication rules and medical policies accessible and easily understandable using AI at the point of care will lower the burden and cognitive load related to claims and prior authorization workflows. Novel solutions like these are applicable beyond these specific challenges. When we apply innovation across the ecosystem, we will start to see scalable change - and help build a healthcare system that’s efficient, affordable, and truly patient-centered. Check out the full interview linked in the comments.