Session ID: 
98

Driving Value: Automating Prior Authorization at the Point of Care

8:30am - 9:30am Wednesday, March 11
Orlando - Orange County Convention Center
W204A

Description

Magellan Health, Inc. has formed a strategic alliance with Stanson Health, Premier, Inc.’s clinical decision support (CDS) technology, to deploy an industry-leading automated prior authorization (PA) solution at the point of care. This solution supports true automation of the prior authorization process within the electronic health record and physician workflow. Together, Magellan Healthcare’s advanced imaging management program clinical guidelines and Premier’s technology platform provides clinical guidelines for determining the medical necessity of certain imaging procedures to inform providers and enable authorization determinations in real time, improving efficiency of the overall PA process for providers and health plans, while also enhancing the member experience and maintaining clinical integrity.

Learning Objectives

  • Define the benefits of prior authorization in managing patient safety and over utilization of procedures
  • Recognize the opportunity to utilize artificial intelligence and machine learning within the EHR to reduce provider administrative burden when obtaining prior authorization
  • Describe the advantages to providers and health plans secondary to automating prior authorization within the EHR at the point of care

Speaker(s)

Senior Vice President, General Manager of Specialty Health,
Magellan Healthcare
SVP & Chief Clinical Transformation,
Cedars-Sinai Health System

Continuing Education Credits

ABPM
1.00
CAHIMS
1.00
CME
1.00
CNE
1.00
CPHIMS
1.00

Audience

CIO/CTO/CTIO/Senior IT
Healthcare Financial Professionals
Payer

Level

Intermediate