Survey Reveals AI as Key to Easing Prior Authorization Burdens for Providers

What's Happening?

A survey conducted by Cohere Health indicates that providers are increasingly confident in using artificial intelligence to streamline the prior authorization process. The survey, which included 200 clinicians and office administrators, found that 99% of clinicians and 96% of administrators believe AI can support prior authorization. The respondents highlighted the need for a fully digital process with real-time tracking to improve workflow efficiency. Despite the potential benefits, only a small percentage currently use electronic platforms for a significant portion of their requests, with many still relying on fax or phone submissions.

Why It's Important?

The findings underscore the growing reliance on technology to address administrative burdens in healthcare, particularly in prior authorization processes. Delays in authorization can lead to emergency care or hospitalizations, impacting patient outcomes and contributing to clinician burnout. The survey results suggest that AI could play a crucial role in enhancing efficiency and transparency, potentially reducing healthcare costs and improving patient care. As federal requirements for quicker responses to authorization requests take effect, the integration of AI could become increasingly vital for compliance and operational effectiveness.

What's Next?

With new federal requirements set to begin on January 1, insurers will need to respond more quickly to authorization requests. This regulatory change may accelerate the adoption of AI and digital platforms among providers, as they seek to meet these deadlines and improve patient care. Stakeholders in the healthcare industry, including insurers and technology providers, are likely to explore partnerships and innovations to facilitate this transition. The survey's insights could drive further investment in AI solutions, aiming to alleviate the administrative burdens faced by healthcare professionals.