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Meet Liam Duffield – Versaton Australia's IT Team Leader by day, adventurer by night.
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Radiology groups across the nation are increasingly faced with the decision of whether or not to affiliate, merge or join with larger groups. Physician groups are faced with an uncertain environment ahead due to increased complexity of reimbursement, hospital consolidations and increased pressure to measure and demonstrate clinical quality and outcomes. Before determining if a partnership is right for the practice, leaders must first determine their strategic plan and clarify their short-and long-term objectives.
Six industry leaders, including the AMA recently announced collaborating to improve the prior authorization process. In the statement, they said “Prior authorization approvals can be burdensome for health care professionals, hospitals, health insurance providers, and patients because the processes vary and can be repetitive. Streamlining approval processes will enhance patient access to timely, appropriate care and minimize potential disruptions.”
Nowhere is that more true than in independent radiology, where prior authorizations are required for the majority of procedures. While the industry works to enact wider change, several innovative practices and solution providers are actively working to find a better way to manage prior authorizations in radiology. Some have even implemented fully market capable solutions.
This session will profile one those fully implemented solutions as a case study and explore the lessons learned from that journey for others considering this type initiative.
NOTE: Upon purchase, the webinar recording will be will be accessible via the link contained in your order confirmation email.
This presentation is balanced and does not advocate for or against radiology PPMCs. Rather, the learner will gain unbiased insight into the following:
1. The macro level catalysts within health care that are forcing change within radiology.
2. The history of PPMCs, and the rationales behind the recent proliferation into radiology.
3. Strategic objectives of today’s radiology PPMCs.
4. Tactics of the radiology PPMCs (how they do what they do).
5. Significant threshold issues that every radiology group has to work through.
6. What the transaction may look like, and the key documents, terms and conditions