Valer

This thoughtful piece from California Health Care Foundation about reforming #PriorAuthorization is worth a read. California, where payer portal management is some of the most fragmented and complex in the nation, was Valer’s proving ground—and why we built our solution to speed and simplify prior authorization across all specialties and all payers.   https://lnkd.in/d7SJwQT6

Do you have relevant KPIs in place to understand how well your Prior Authorization processes are performing?   Catch up on the recording of our webinar featuring Valer CEO Steve S. Kim, MD, MBA, MSCE and Tim Holland, a Director at The Wilshire Group, to learn how best-practice KPIs can empower your healthcare organization to improve operational performance, strengthen payer negotiations, and more.   Watch now: https://lnkd.in/dWSk2aas   #PriorAuthorization #ReferralManagement #HealthcareWebinar

HME companies are facing growing challenges when it comes to prior authorization, as this HME Business points out. We work with DME/HME suppliers and other healthcare organizations to speed up and simplify the process. Reach out to us today so we can help.    https://lnkd.in/dGQG34XQ   #FixPriorAuth #HME #DME #HomeMedicalEquipment #MedicareAdvantage #PriorAuthorization

Tools and expertise that speed up, simplify, and enhance your practice’s prior authorization workflows can significantly reduce the burden on your team. Contact us today to learn how our tools and expertise can increase your team’s productivity: https://lnkd.in/eg5UmXXx   #FixPriorAuth #PriorAuthorization #HealthIT #ReferralManagement #HealthcareAutomation

The most recent American Medical Association article is a letter to the 119th Congress, outlining the most pressing issues facing healthcare today, including improving prior authorization accountability and transparency. The piece explains that patients and physicians are burdened by unnecessary delays, denials, and a lack of transparency that can lead to devastating health outcomes. Despite bipartisan support for the Improving Seniors’ Timely Access to Care Act, meaningful progress has stalled—leaving vulnerable patients in limbo and independent physician practices struggling to navigate these administrative hurdles. There is progress to be made and the AMA will continue to advocate for it. Read the full piece here: https://hubs.la/Q033ZXxJ0

A recent STAT article shared Jessica’s experience with prior authorization – one that many patients can relate to – facing a labyrinth of delays, denials, and appeals while seeking timely, necessary care. Her experience with denied treatment and subsequent struggles to navigate the appeals process underscores the immense burden prior auth requirements place on patients, both emotionally and medically. These challenges highlight the urgent need for streamlined solutions that eliminate inefficiencies, reduce delays, and ensure patients get the care they need without unnecessary barriers. For the full piece, follow this link: https://hubs.la/Q033ZYCP0

2024 raised many questions about the current state of prior authorization processes. In our latest blog, we analyze a few of the most important prior auth trends that came to light last year and how Valer can streamline the process for your organization in 2025. These trends include: - Care delays and denials - Staff burnout - Changing payer requirements We’re here to help you make a business case for prior auth automation. Read the full blog here: https://hubs.la/Q033NkLK0

The most recent American Medical Association Update recaps the most urgent issues facing physicians in 2025, including prior authorization challenges. The organization’s President Bruce Scott stated that they will continue to push for prior auth reform as a top priority this year by working with federal and state legislatures. Read the full piece here: https://hubs.la/Q033c9ym0

Today many healthcare administrative processes are finding efficiencies through automation. Still, in an era captivated by the promises of AI, it’s critical to pause and question whether our current trajectory paints an ideal future for healthcare. In terms of prior authorization, replacing human oversight with AI workflows is not the answer. There are specific portions of the prior auth process, like determination, where automation can have negative impacts. But automating processes like submission and verification can be a strategic tool for boosting efficiency and improving operations. At Valer, we take the submission and verification onus off your administrative teams. How can this type of automation impact your organization? Let us show you. https://hubs.la/Q033c49F0

For many healthcare settings, AI-powered prior authorization solutions promise to revolutionize patient care and administrative processes. Less time spent on managing prior authorizations sounds like a win, right? The short answer is: it depends. AI has become a buzzy “catch-all” description for any solution that automates tasks typically performed by humans. But they’re not the same, and AI isn’t inherently better. The key to reaping all the benefits is to ensure you have the right prior auth solution available. To learn more about the way our prior authorization automation solution can help your organization, contact us today. https://hubs.la/Q03229KR0