How Partners HealthCare Commits to 100% Appropriate Care and Eliminates Prior Authorization

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As much as one-third of US healthcare spending is wasteful or unnecessary. Payers respond by requiring medical necessity reviews, especially for high-cost and high-volume procedures.

Massachusetts General Hospital and Partners HealthCare have implemented an innovative program to achieve the highest possible rates of appropriate use and align with payers to waive prior authorization.

Download the case study to discover:

  • How to gain clinician buy-in to adoption of evidence-based guidelines
  • What it takes to reduce or eliminate prior authorization
  • How software that mines patient records expedites review of benefits and risks
  • What is required for truly “informed” patient consent
Creagh-Milford
“The technology frees up time spent mining the EHR and our data repositories, while dramatically shifting the patient/doctor conversation toward shared decision making.”
Creagh Milford, D.O., Associate Medical Director, Massachusetts General Hospital.

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