These recommendations are a result of our 12-month project with a group of stakeholders that included payers, providers, technical service providers, and federal and state regulators.
Over 90 minutes, we will:
- Provide a brief overview of prior authorization automation and its benefits,
- Examine the upcoming CMS Final Rule (‘Advancing Interoperability and Improving Prior Authorization Processes’) and the subsequent technological changes faced by impacted payers,
- Detail our plan to implement automation activities in Massachusetts,
- Describe the stakeholder considerations that molded our recommendations, and
- Hear reactions to our plan from payers, providers, vendors, and you!
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