A KFF survey found that 16% of all insured adults experienced prior authorization (PA) problems last year. What’s more, studies show that PA disproportionately affects low-income patients, people of color, and those living in underserved areas.
Social determinants of health (SDOH), such as limited access to technology and transportation and language barriers, can exacerbate the challenges posed by traditional PA.
As the healthcare community works to drive equitable care and better understand SDOH, there are new opportunities to empower physicians and address these goals. Intelligent prior authorization can help advance health equity in care delivery through:
- Personalized care pathways
- Clinical nudges
- A more streamlined authorization process
Cohere Health, Medical Mutual, and Rhyme partner on utilization management transformation (Cohere Health)
By: Krishna Kottapalli
Chief Growth Officer
AI-Powered Prior Authorization: A Catalyst For Building A More Equitable Healthcare System (Healthcare Business Today)
By: Mary Krebs, MD, FAAFP
Medical Director of Primary Care
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