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In recent years, we’ve seen a range of legislative rules and proposed changes to reduce provider and patient burden relative to Prior Authorization (Prior Auth). These efforts represent an ongoing battle to standardize and automate the Prior Auth process. Put into place to avoid unnecessary medical care, prescription drugs, and to prevent undue cost, Prior Auth rules are set by CMS and health plans. However, many providers feel Prior Auth is overused and can result in patient care delays.


Learn how Automated Prior Authorization service provided by the ConvergeHEALTH CareClarity™ Suite by Deloitte, powered by Google Cloud, helps decrease time to treatment, enhances the provider experience, and widens access to care while reducing costs. By leveraging the efficiencies of modern technologies such as AI and ML, Automated Prior Authorization will truly drive meaningful change within the US healthcare system.


“The impact of technology and data to modernize healthcare is a major driver, it will bend the cost curve and disrupt the current model. Providers cannot achieve these results while handling things manually. They’re not going to get the cost impacts that Automated Prior Authoirzation can achieve.”

Michael McCallen, Managing Director Healthcare Strategy, ​Deloitte Consulting LLP

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