The American Medical Association has found that prior authorization, or delayed and disrupted care, can negatively impact the delivery of necessary medical treatments, jeopardize quality care and harm patients. The study found that over 90% of physicians reported this process negatively impacts patient clinical outcomes. On average, doctors fill out 43 prior authorizations a week, and nearly a quarter are denied. The author argues that automating prior authorization is one of the fastest ways to improve healthcare delivery in the U.S. Automating this process can immediately reduce administrative costs, speed up care and improve outcomes, particularly for patients with chronic or life-threatening conditions. Healthcare is heavily regulated and requires strict privacy and security standards, complicating implementation and integration. However, there are challenges such as data interoperability and quality, and low-quality or incomplete data can hinder the effectiveness of automation tools.
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