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Benefits of Prior Authorization Transparency
and Automation

  • November 29, 2021
  • 2:00 PM – 3:00 PM ET
  • Online
about

The administration of prior authorization processes creates billions in costs for both health care providers and health insurance providers. This is due to the cumbersome manual processes involved in most current iterations of a prior authorization process. Implementing increased health care provider transparency to prior authorization requirements as well as digital processing tools reduces administrative time and can save millions.

A Blue Cross health insurance provider and a representative of Mayo Clinic will share their experiences implementing and using a digital transparency solution offered by the health insurance provider and the impact on their processes and costs.

Attendees will learn about:

  • What attributes to consider when considering a transparency solution
  • Key steps in preparing to implement a transparency solution
  • Steps in the implementation process
  • The positive effects of transparency: financially, for employees, and for patients

Speakers


Bobbi Maddox
Business Capability Architect
Blue Cross Blue Shield Minnesota

As Business Capability Architect for Utilization Management at Blue Cross and Blue Shield of Minnesota, Bobbi Maddox supports medical management strategies related to the organization’s medical policies and clinical programs. Bobbi has led the design and delivery of strategic initiatives supporting advances in health care technology for Blue Cross programs including the implementation of innovative platforms for case, disease and utilization management and an integrated online prior authorization portal for providers.


Grant Kocer
Director of Contracting and Payer Relations
Mayo Clinic

As Director of Contracting and Payer Relations at Mayo Clinic, Grant Kocer works closely with different payers contracted with Mayo Clinic, including Blue Cross and Blue Shield of Minnesota. Grant is the Mayo Clinic Lead for the Administrative Simplification team that works collaboratively with Blue Cross and Blue Shield of Minnesota to alleviate administrative burden for both organizations. Prior to his role in Contracting, Grant worked in Prior Authorization for 10 years, with the last two spent as Manager of the Enterprise Prior Authorization team.


Michael Lunzer
Founder and CEO
Itiliti Health

Michael is a serial entrepreneur with a track record of delivering ROI through companies that leverage technology to optimize sectors plagued with legacy inertia. He co-founded and successfully exited several companies including Warm Health, a virtual assistant care communication platform acquired by Altegra health.