How does Prior Auth work? Q&A with the experts 

Thanks so much to the teams from MultiCare and Cambia for bringing Brett and me up to speed on prior authorization. I took the opportunity to ask some basic (and naive!) questions to this panel of experts who were generous with their time and explanations. Thank you Kirk Anderson, David Degandi, Heidi Kriz, Anna Taylor, and Amol Vyas!
In this session we discussed:
* common workflows and challenges for prior authorization
* timelines and state-specified response times
* role of provider organizations including clinical and non-clinical staff
* role of payor organizations
* evidence and guidelines
* rules engines and automated determinations
* evaluating fairness of decisions
* technical approaches that could improve prior authorization
At the end, there's even a quick demo of a SMART on FHIR app that streamlines the prior authorization request process.