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Driving Value: Automating Prior Authorization at the Point of Care

Magellan Health, Inc. has formed a strategic alliance with Stanson Health, Premier, Inc.’s clinical decision support (CDS) technology, to deploy an industry-leading automated prior authorization (PA) solution at the point of care. This solution supports true automation of the prior authorization process within the electronic health record and physician workflow. Together, Magellan Healthcare’s advanced imaging management program clinical guidelines and Premier’s technology platform provide clinical guidelines for determining the medical necessity of certain imaging procedures to inform providers and enable authorization determinations in real time, improving efficiency of the overall PA process for providers and health plans, while also enhancing the member experience and maintaining clinical integrity.

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