Integrating Prior Authorization Into Clinical Workflows for Care Access and Practitioner Experience

In this quality improvement study of prior authorization workflows, real-time transparency available at the point of care was associated with reduced rates of denials, reduced delays in care, and improved practitioner satisfaction. These findings suggest that such technology may offer a valuable solution to current challenges in prior authorization by streamlining workflows and facilitating more timely access to care.

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Publication Details

Journal
JAMA Network Open
Published
2025-12-22
DOI
https://doi.org/10.1001/jamanetworkopen.2025.49093
Citations
1
Primary Topic
Advances in Oncology and Radiotherapy
Type
article
Field-Weighted Citation Impact
1.36
Controls
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article

Integrating Prior Authorization Into Clinical Workflows for Care Access and Practitioner Experience

Jamie Hwang, Baho Sidiqi, L. Potters, W. Chen et al.
1 citations
JAMA Network Open
Advances in Oncology and Radiotherapy
1.36
article

Integrating Prior Authorization Into Clinical Workflows for Care Access and Practitioner Experience

Jamie Hwang, Baho Sidiqi, L. Potters, W. Chen, Damon Pappas, Colin M. Carpenter, Adam J. Pattison
article en
1 citations

Abstract

In this quality improvement study of prior authorization workflows, real-time transparency available at the point of care was associated with reduced rates of denials, reduced delays in care, and improved practitioner satisfaction. These findings suggest that such technology may offer a valuable solution to current challenges in prior authorization by streamlining workflows and facilitating more timely access to care.

JAMA Network OpenVol. 8(12)
Northwell Health (US), Hofstra University (US), Northwell Health Orthopaedic Institute (US), Smart Solution (Norway) (NO), North Shore Diabetes and Endocrine Associates (US)
Openalex Percentile: Top 13%
Advances in Oncology and Radiotherapy
1.36
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