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September 30, 2023

AI And Standards Aren’t Enough: Fixing Prior Authorization Will Require Something Else Entirely

Forbes
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Summary
Healthcare needs to address root of the Prior Authorization (PA) problem by utilizing a dedicated network platform rather than just technical standards or AI solutions. A PA-network could solve data variation issues while providing necessary tech support, oversight and transaction efficiency. Platforms like Surescripts have seen billions in savings through such a strategy. A PA-platform can also improve trust, transparency, efficiency and benefits all parties involved.

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