Case study: How MetroHealth increased monthly authorizations by 173%

Challenge: Manual authorizations couldn’t scale with demand Manual workflows were no match for MetroHealth’s growing prior authorization demands. With more than 300,000 patients coming through the doors each year, staff at the MetroHealth system spent their days manually chasing requests and approvals through phone calls and payer portals. Without a reliable way to track approvals,…

Read More

Case Study: How Patient Estimates helped UTMC comply with Price Transparency Rules

“Experian Health helped us meet the compliance of the Price Transparency Rule. Without it, we would have been subject to large fines.” — Marianna Ross, Manager of Customer Services and Financial Counseling at UTMC Challenge Before 2020, UTMC, a leading Level 1 Trauma Center that serves patients across three states, relied on a manual, time-consuming…

Read More

Case study: How USA Health cut manual work by 50% with automated authorizations

“We knew we needed to transform our authorization workflow processes. We were experiencing a high rate of denials due to a lack of authorizations.” – Amy Grissett, Senior Director of Ambulatory Revenue Cycle at USA Health Challenge: Manual processes that couldn’t keep up Serving more than 250,000 patients each year across hospitals, specialty centers and…

Read More

Ionis Pharma’s Drug for Rare Disease With No Approved Therapies Meets Goals of Pivotal Study

Patients who have a particular genetic disease whose symptoms include progressively worsening muscle control were able to walk faster following treatment with an experimental Ionis Pharmaceuticals genetic medicine, meeting the main goal of a pivotal study. Based on these results, the drugmaker said it plans a regulatory submission for what could become the first FDA-approved…

Read More