Efficiency Amplified: Automatic Prior Authorizations for Seamless Care

 

Navigating the labyrinth of healthcare bureaucracy, particularly the prior authorization process, presents a significant challenge for both providers and patients. This process, which is designed to control healthcare costs, often ends up delaying critical care.

Could the efficiency of healthcare delivery improve if hospitals with a consistent record of approved claims were granted automatic prior authorizations?

Melanie Musson, the Insurance and Finance Expert at Clearsurance delves into this issue, offering a perspective that could reshape the way we think about healthcare administration. Her insights suggest a transformative approach to healthcare delivery, advocating for a system that rewards efficiency and reliability.

“So when a hospital or a doctor establishes a history of submitting claims that are generally almost always granted pre-approval, they should be rewarded with the power to have their prior authorization requests automatically approved so that the patients can get what they need more quickly and the hospitals can avoid having to make their patients wait a long time,” Musson said.

Article written by Sonia Gossai

Follow us on social media for the latest updates in B2B!

Image

Latest

Marketplace Inclusion
How TEKsystems Uses Marketplace Inclusion to Drive Equitable AI Adoption
July 16, 2025

As organizations race to integrate AI into every corner of business, an equally urgent conversation is emerging: How do we ensure this adoption doesn’t widen existing equity gaps? AI is both a disruptive force and an opportunity engine, as recent data shows that AI adoption among HR professionals jumped to 72 percent in 2025, up…

Read More
storytelling
The Secret to Brand Loyalty: Why Storytelling Is the Best Way to Be Heard in a Crowded Market
July 16, 2025

In today’s fast-evolving digital marketplace, attention is scarce, and trust even more so. In an era of remote work, AI-driven marketing, and constant digital noise, storytelling has emerged as one of the most powerful tools to cut through the clutter. In fact, research shows that people who used storytelling techniques to remember information recalled seven…

Read More
hospitality career development
Leaders Driving Hospitality Career Development Must Embrace Tech, Inclusion, and Risk
July 16, 2025

The hospitality industry is under mounting pressure to modernize to meet guest expectations for seamless, tech-driven experiences and also develop leaders who can drive that transformation. According to Rackspace Technology, only 28% of travel and hospitality companies qualify as “AI leaders”— those aligning strategy, compliance, and training with real-world deployment. Another 28% remain in…

Read More
HR compliance
Seeing What Others Miss: The Art of Problem Solving in HR Compliance
July 16, 2025

In this episode of Professional Quotient: Conversations that Build Equity, host Jason Winningham sits down with Andrea Kilburn, the HR EEO and Affirmative Action Compliance Manager at EssilorLuxottica. Andrea has built her career on problem-solving, advocacy, and the power of precise thinking. Andrea shares her unique path from mortgage underwriting to HR compliance, and…

Read More