What is the impact of the prior authorization process on your organization? The total cost of a single authorization is $35-$100 when faxes, phone calls, clinical time and other aspects are considered. Both providers and health plans conduct duplicative medical reviews. This process is redundant, inefficient, and time-consuming.
But now, with InterQual ConnectTM from Change Healthcare, integrated into JivaTM, the end-to-end population health management (PHM) platform and Sentinel Rules Engine (SRE) from ZeOmega®, near real-time automated authorization decisions within a single platform are a reality. This industry-leading integration enables providers and health plans to:
- Provide easier access to updated content and criteria through the cloud-based Medical Review Service available in the core Jiva platform and Provider Portal.
- Improve collaboration by establishing connectivity between providers’ existing Utilization Management (UM) and Care Management (CM) workflows and the Jiva platform through the Authorization Gateway.
- Automate authorization requests submitted either through the Jiva Provider Portal or a provider’s UM/CM system, using the SRE engine to leverage both clinical and business rules.
View Recorded Webinar from ZeOmega to learn how the Jiva/InterQual Connect Integration strengthens health plan-provider collaboration, delivers a unified authorization workflow, and drives efficiencies.
Industry thought leaders and subject matter experts will discuss how this partnership unleashes the power of cloud connectivity to change the future of the prior authorization process.