Overcoming Prior Authorization Challenges With Technology

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Note:  The following article synopsis was NOT provided by BC Advantage. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews an AMA physician survey about prior authorization and its effects on care delays, administrative workload, denials, burnout, and resource use. It also introduces a health IT interoperability tool from NantHealth that is positioned as a way to reduce friction in insurance-related workflows. The piece is relevant to physicians, practice managers, revenue cycle teams, and health IT professionals who follow utilization management and workflow automation.

Why This Topic Matters

Prior authorization affects patient access, physician time, and practice efficiency, making it a major operational issue for healthcare organizations. Understanding both the reported survey impacts and the type of technology being promoted can help readers evaluate workflow and policy implications.

Article Sections

  1. The Consequences of Prior Authorization

    Summarizes survey findings about patient access, physician workload, denials, burnout, and overall utilization effects associated with prior authorization.

  2. In-Depth Survey Results

    Provides additional survey context, including respondent mix and broader observations about delays, appeals, peer review, and utilization patterns.

  3. NantLink™ - A Streamlined Solution

    Introduces a technology platform from NantHealth and describes its general purpose in supporting payer-related workflow and interoperability.

What You Will Learn

  • How prior authorization is affecting patient care and physician workflow according to a recent survey
  • What types of administrative and utilization burdens are associated with prior authorization
  • How a health IT interoperability tool is presented as a response to payer workflow challenges
  • Which organizations and survey sources are referenced in the discussion

Who Should Read This

  • Physicians
  • Practice managers
  • Revenue cycle staff
  • Health IT professionals
  • Payer operations stakeholders
  • Healthcare administrators

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