THE OUTLOOK FOR HEALTH CARE IN 2023:

What you need to know about the forces reshaping our industry.

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Research

How plans are (and aren’t) using AI to automate prior authorizations

    Prior authorization (PA) processes are a significant administrative burden for both plans and providers—even though approximately 85%+ of prior authorization requests are ultimately approved. As such, PA is an area commonly cited as ripe for automation, yet based on plan interviews, only 35%-40% of prior authorizations are currently automated.

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