Health system gets prior auth decisions up to 5 days faster with End-to-End Prior Authorization
Introduction
An integrated health system with facilities in the Midwest needed to remove the prior auth burden on their healthcare staff. Olive’s prior authorization solution improved staff efficiency and satisfaction while reducing costs.
The challenge
Needing to reduce provider-payer friction
The health system was looking to reduce authorization denials and the subsequent payer-provider friction that typically ensued. More specifically, they wanted to improve turnaround times, decrease required peer-to-peer reviews, provide staff with faster onboarding and training and increase staff efficiency. Prior authorization denials, write-offs and long turnaround times had produced a costly financial impact that the health system needed to address.
The solution
Improving efficiency and patient throughput
After implementing Olive’s End-to-End Prior Authorization solution in just over four months, authorization denial rates for imaging were quickly reduced by 50%. Patient throughput improved, with Olive helping to determine if a prior authorization was needed up to five days faster than was previously possible.
With Olive lifting these weights off the shoulders of the health system’s workforce, output efficiency rates have increased by more than 30%, including submissions per hour and cases completed per hour. They’ve also seen a 75% increase in the rate of approved peer-to-peer reviews — dramatically improving efficiency and staff satisfaction.
The results
"Olive has fully delivered everything they said they would deliver to us. They’ve met our timelines, were very attentive during the entire process of the build, were quick to respond back and worked through any issues together. Everything that needed to be resolved was resolved in a timely manner and for go-live, and they were fantastic with my team (the end users) doing the day-to-day work. Anything we needed to make sure my team was successful, they were there for.”
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