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Compliance to Prior Authorization Mandates Is a Scope Challenge for Payers

Publisher IDC
Published Mar 29, 2024
Length 6 Pages
SKU # IDC18658477

Description

Compliance to Prior Authorization Mandates Is a Scope Challenge for Payers


This IDC study looks at establishing an overall vision and road map for prior authorization (PA) in payers and where the enterprise approach is going with its PA journey. Modularly implementing sections of the needed technology architecture seems the most appropriate path. "While less attractive to implement, pulling back from the 'check the box' or 'avoid the fine' mindset seems prudent. Payers should move in a modular fashion toward an enterprise operating model that optimizes consistency, flexibility, and cost while addressing compliance with mandates," says Jeff Rivkin, research director for IDC Health Insights.

Please Note: Extended description available upon request.

Table of Contents

6 Pages
Executive Snapshot
Situation Overview
Introduction
Mandate Overview
Challenge
Advice for the Technology Buyer
Learn More
Related Research
Synopsis
How Do Licenses Work?
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