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webinars

Reducing Administrative Burden in Admission Authorizations

Dates:
Jul 26, 2022
Time:
2:00 pm EDT
Presented by MCG
Register Now Registration takes place at a third-party website.

About This Webinar

The health care industry has struggled with the authorization process for decades; CAQH’s Index estimates that 35% of prior-authorization requests in 2021 were submitted in a fully manual way. Attendees will learn about a project that automated manual authorization submissions and made emergent inpatient admission authorizations fully electronic; and lessons learned from the implementation. The speakers will also explore feedback received from these early adopters and realized savings from both parties.

We will be describing realized savings that health insurance providers can achieve while working towards potential regulatory requirements like those included in the rescinded CMS Interoperability and Prior Authorization Rule. We will show you how these potential requirements could be a great opportunity for your organization.

Attendees Will Be Able To

  • Describe the authorization workflow at a high level
  • Describe the friction points in the authorization workflow for payers and providers
  • Explain how different metrics fit into an overall return on investment calculation for automating authorizations

Presenters

Christopher Tarr

Director, Clinical Operations & Systems

CareSource

Christopher Tarr oversees the clinical services integration and systems team at CareSource, an administrator of Medicare, Medicaid, and Marketplace plans. Prior to joining CareSource, he worked in various roles at Blue Shield of California including medical management, clinical systems configuration, system automation, product development, and clinical support. Mr. Tarr has been instrumental…

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Brandy O’Diam

Associate Director, Product Management – UM Payer Solutions

MCG Health

Brandy has experience as a nursing professional and has worked in the healthcare sector for over 15 years. More specifically, she has developed extensive experience in the payer space and utilization management. Prior to joining MCG Health, she was Director of Clinical Operations Integration and Automation at CareSource, one of the nation's largest Medicaid managed care plans which is…

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Daniel Cawood

Product Manager, Interoperability Solutions

MCG Health

Daniel Cawood oversees the product development for MCG Health’s interoperability solutions and connecting payers and providers for authorization processes. Mr. Cawood began his time at MCG overseeing the Indicia suite of solutions (provider market clinical decision support) and value-based care solutions. Before joining MCG, he was a Product Owner for Research & Development solutions at…

Learn more about Daniel Cawood