Designed as a safety and cost-savings measure, prior authorizations by health insurance companies determine if they will cover a prescribed procedure, service or medication. While the process is intended for safety and cost-savings, they can delay patient treatment and lead to negative patient outcomes, according to a new infographic by Infinx.
The infographic looks at why prior authorizations are needed as well as their impact on patients, providers and the healthcare industry in general.
A laser focus on population health interventions and processes can generate immediate revenue streams for fledgling accountable care organizations that support the hard work of creating a sustainable ACO business model. This population health priority has proven a lucrative strategy for Caravan Health, whose 23 ACO clients saved more than $26 million across approximately 250,000 covered lives in 2016 under the Medicare Shared Savings Program (MSSP).
Profiting from Population Health Revenue in an ACO: Framework for Medicare Shared Savings and MIPS Success examines Caravan Health’s population health-focused approach for ACOs and its potential for positioning ACOs for success under MSSP and MACRA’s Merit-based Incentive Payment System (MIPS).
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Tags: healthcare cost savings, patient outcomes, prior authorization, prior authorizations
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