The Intersection of Compassion and Compliance: Improving Prior Authorization Efficiency in Hospice and Palliative Medicine
- Prior authorization (PA) is meant to control healthcare costs but often delays care in hospice and palliative settings, causing unnecessary pain and stress for patients and caregivers.
- Delays in PA can lead to prolonged suffering, more hospital visits, and emotional strain on families and healthcare workers.
- AI and automation are transforming PA by reducing approval times by up to 40%, minimizing errors, and predicting approval outcomes.
- CMS policy changes are pushing for faster, standardized electronic PA processes, especially in urgent care situations.
- Outsourcing PA to experts can speed up approvals, reduce claim denials, and let staff focus on patient care—especially helpful for smaller hospice providers.
- Best practices for PA include using AI tools, understanding insurer preferences, training staff well, and working with dedicated PA partners.
- Practolytics offers fast, compliant, tech-driven PA solutions with 24/7 support—helping hospice providers get quick approvals and reduce rejections.