Leaders from payer and provider organizations will join MCG's interoperability expert to share experiences on automating prior auth processes
SEATTLE, June 8, 2023 /PRNewswire-PRWeb/ -- MCG Health, part of the Hearst Health network and an industry leader in technology-enabled, evidence-based guidance, announces its Associate Vice President of Technology and Interoperability, Rajesh Godavarthi, will host a panel of payer and provider technology leaders at the AHIP 2023 conference. The panel session titled, "Prior Auth Automation: Insights from Implementing EHR-based Authorizations" will take place on Tuesday, June 13, 2023, from 12:15 pm to 12:45 pm Pacific Time. The panelists will share their insights on automating prior authorization workflows including the potential challenges and success metrics.
Panelists participating in the 30-minute session will include:
- Rena Cardenas, Associate Vice President of Financial Clearance, MultiCare Health System
- Holly D'Amico, RN, BSN, MBA, FABC, Vice President, Clinical Services Engagement & Education, Highmark
- Heidi Kriz, MPH, RD, Director of Medical Policy and Medical Management; PA Transformation Lead, Regence
- Rajesh Godavarthi, Associate Vice President of Technology and Interoperability, MCG Health
Following the December 2022 release of the Proposed Rule on Advancing Interoperability and Improving Prior Authorization Processes from the Centers for Medicare & Medicaid Services (CMS), many health plans and hospitals are preparing for the technological transformation that will be required to automate prior authorizations.
Regence, MultiCare Connected Care, and MCG were the first members of the HL7® Da Vinci Project to complete a scalable, end-to-end automation workflow for prior auth using the HL7 Fast Healthcare Interoperability Resources (FHIR®) standard with the HL7 Da Vinci Project implementation guides (IGs). In May 2023, the three organizations were recognized by KLAS with a Points of Light award for their breakthrough work.
The AHIP 2023 conference takes place in Portland, Oregon, at the Oregon Convention Center, from June 13-15, 2023. More information is available about this event here: https://www.ahip.org/conferences/ahip-2023
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About Regence
Regence serves more than 3.4 million people through its Regence health plans in Idaho, Oregon, Utah and Washington. Each Regence health plan is a nonprofit independent licensee of the Blue Cross and Blue Shield Association. Regence is part of a family of companies dedicated to transforming health care by delivering innovative products and services that change the way consumers nationwide experience health care. For more information, please visit regence.com.
About MultiCare
MultiCare Health System is a not-for-profit health care organization with 12 hospitals and more than 22,000 team members. We are committed to achieving our mission of a healing and a healthy future for all and delivering world-class health outcomes and exceptional experience.
As the largest community-based, locally governed health system in Washington state, our comprehensive system of health includes numerous primary care, urgent care and dedicated specialty services. For more information, visit MultiCare.org or follow us on Twitter, Facebook, Instagram.
About MCG Health
MCG, part of the Hearst Health network, provides unbiased clinical guidance that gives healthcare organizations confidence in delivering patient-centered care. MCG's artificial intelligence and technology, infused with clinical expertise, enable its clients to prioritize and simplify their work. MCG's world-class customer service ensures that clients maximize the benefits of licensing MCG solutions – demonstrating improved clinical and financial outcomes. For more information visit http://www.mcg.com or follow our Twitter handle at @MCG_Health.
About Hearst Health
The mission of Hearst Health is to help guide the most important care moments by delivering vital information into the hands of everyone who touches a person's health journey. Care guidance from Hearst Health reaches the majority of people in the U.S. The Hearst Health network includes FDB (First Databank), Zynx Health, MCG, Homecare Homebase, and MHK (formerly MedHOK). Hearst also holds a minority interest in the precision medicine and oncology analytics company M2Gen. Follow Hearst Health on Twitter @HearstHealth and LinkedIn @Hearst-Health.
Media Contact
Arri Burgess, MCG Health, (206) 389-5405, [email protected]
SOURCE MCG Health
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