Closing the Gap Between Providers and Payers

May 19, 2021

There is widespread, national attention on prior authorization to reduce the time and burden on patients and providers. While pivotal to ensure cost-effective care, prior authorizations are complex to administer and remain heavily reliant on manual reviews. New advancements in artificial intelligence are enabling automatic reviews of medical necessity criteria from clinical documentation. Tune in to a discussion with Tina Cummings, VP of Clinical Operations and Performance at Florida Blue, Dr. Jeremy Friese, President, Payer Market at Olive and Dr. YiDing Yu, EVP & Chief Medical Officer at Olive on how Florida Blue became the first health plan in the U.S. to deliver point-of-care approvals. Hear how using the power of AI and leveraging the Internet of Healthcare transformed their relationship with its members and providers. 

Learning Objectives

01

Understand the current state of prior authorization and medical necessity reviews

02

Identify opportunities for automating prior authorization and its impact on member and provider satisfaction

03

Identify key elements of success for a multi-stakeholder payer driven initiative