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Real-time Prior Authorizations Deliver Improved Care, Reduce Costs and Offer Provider Satisfaction

Now, using cutting-edge technology and years of Clinical Decision Support (CDS) expertise, Stanson Health has automated prior authorizations. The solution can be integrated into your current electronic health record (EHR), offering a payer-agnostic solution that streamlines the process with real-time decisions at the point of care. As your partner, Stanson Health brings more than six years of CDS expertise, serving more than 170,000 providers in over 500 hospitals earning us best in KLAS rankings. Our proven track record makes us the ultimate choice for an automated prior authorization solution. Using natural language processing (NLP) and machine learning (ML), we connect providers and payers with guidelines to instantly determine if an order meets payer requirements for approval based on information gathered from the EHR.

With our prior authorization solution, providers, payers and patients immediately experience the benefit of an automated, real-time prior authorization approval process. Eligibility and clinical necessity are both assessed based on payer guidelines, enabling a real-time decision to be delivered at the point of care. This improves the overall experience for everyone, including the patient, and saves both providers and payers the time and expense spent managing the manual prior authorization process. 

$23 to $31 billion

is spent each year for providers to interact with health insurance plans.

Real-time Authorizations Using Data in the Chart

Real-time Authorization Approval

Why Automate? The Numbers Tell the Story.

$23 to $31 billion
is spent each year for providers to manually interact with health insurance plans.1
$82,975
is incurred per year in time and labor expenses interacting with multiple insurance plans.2
28%
of physicians reported that the existing prior authorization process led to a serious adverse event.3
26%
of providers reported a wait of at least three business days for a prior authorization decision.
14.9 hours
a week are spent by providers or their staff on administrative duties specific to prior authorization.
91%
of providers reported a negative impact on clinical outcomes due to the current prior authorization process.
75%
of respondents agreed that the hassle associated with the existing prior authorization process can sometimes lead to patients abandoning their treatment.
86%
of respondents described the administrative burden associated with prior authorization as “high or extremely high”.4

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This is an advertisement for services. Results and savings will vary based on individual circumstances. Embedded links are accurate at the time of publication

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1 Casalino LP, Nicholson S, Gans DN, et al. What does it cost physician practices to interact with health insurance plans? Health Affairs (Millwood). 2009;28(4):w533–43. DOI: 10.1377/hlthaff.28.4.w533.

2 Morra D, Nicholson S, Levinson W, et al. US Physician Practices Versus Canadians: Spending Nearly Four Times As Much Money Interacting With Payers. Health Affairs 2011 30:8, 1443-1450. Available at: https://www.healthaffairs.org/doi/pdf/10.1377/hlthaff.2010.0893 Accessed May 20, 2019.

3 2018 AMA Prior Authorization Physician Survey. February 2018. American Medical Association, Chicago, IL. Available at: https://www.ama-assn.org/system/files/2019-02/prior-auth-2018.pdf Accessed June 3, 2019.

4 https://www.ama-assn.org/practice-management/sustainability/1-4-doctors-say-prior-authorization-has-led-serious-adverse