Skip to content
Equitable Access to Innovation

Advancing Prior Authorization Automation Across Massachusetts

The time to automate is now.

Posted On April 25th, 2023

Download the report

Download the report

Supplements below

There is much evidence that automating prior authorization will ease many of its inefficiencies and irritations for payers, providers, and patients. A group of stakeholders in Massachusetts, including technical service providers and government regulators, focused on what it would take to automate prior authorization in the Commonwealth over the next two years. NEHI’s report, written in partnership with the Massachusetts Health Data Consortium, provides recommendations that anticipate the final Federal Rule on Improving Prior Authorization, including guidelines for drawing an automation roadmap and the structures needed to support the coordination and expertise needed for statewide implementation.

Watch our FULL webinar here: Automating Prior Authorization Across Massachusetts: We can do this together!

Download the corresponding slides: Webinar Slides.

 

Co-Authors

Wendy Warring, J.D.

Wendy Warring, J.D.

President and CEO, NEHI

Dave Delano

Dave Delano

Denny

Denny Brennan

Executive Director, Massachusetts Health Data Consortium

Project Sponsors

Project Participants

Berkshire Health Systems

Blue Cross Blue Shield of Massachusetts

Boston Children’s Primary Care

Alliance Change Healthcare

Centers for Medicare & Medicaid Services

Cohere Health

Community Care Cooperative

Counterpoint Solutions

Epic

Fallon Health

Health New England

Hook

John Glaser, PhD

Massachusetts Association of Health Plans

Massachusetts Executive Office of Health and Human Services

Mass General Brigham

Massachusetts Health & Hospital Association

Massachusetts Health Policy Commission

Massachusetts Medical Society

MassHealth

MEDITECH

Mt Auburn Cambridge Independent Practice Association

New England Quality Care Alliance

Office of the National Coordinator for Health Information Technology

Point32Health

Point-of-Care-Partners & HL7 Da Vinci

Reliant Medical Group

Steward Health Care

WellSense/Boston Medical Center Health System

ZeOmega

Lauren Bedel, M.P.H

Lauren Bedel, M.P.H

Senior Health Policy & Program Associate, NEHI

Web - newsletter icon (3)

Subscribe to our newsletter

Get the inside scoop on ongoing research, new reports, and upcoming events.

Latest Reports

Addressing Persistent Disparities in Colorectal Cancer Screening Among Racially and Ethnically Diverse Populations

Addressing Persistent Disparities in Colorectal Cancer Screening Among Racially and Ethnically Diverse Populations

Through this work, NEHI sought to propose recommendations that, if adopted, may help to better illuminate and subsequently close disparitie...

Medicare Vaccination Coverage After the Inflation Reduction Act: Action Still Needed to Enable High Vaccination Rates Among Medicare Beneficiaries

Medicare Vaccination Coverage After the Inflation Reduction Act: Action Still Needed to Enable High Vaccination Rates Among Medicare Beneficiaries

Is there a better way to offer vaccine coverage among Medicare beneficiaries?

Advancing Prior Authorization Automation Across Massachusetts

Advancing Prior Authorization Automation Across Massachusetts

The time to automate is now.