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Infusion for Health is a leading national provider of adult and pediatric infusion therapy services.
With 39 locations across 6 states treating patients for a wide range of complex, chronic autoimmune and other conditions, Infusion for Health needed to streamline their prior authorization process in order to reduce delays in getting patients on critical treatments.
Infusion for Health partnered with SamaCare, leveraging SamaCare’s NextGen EMR integration, to centralize prior authorizations across all treatments, payers, and portals and streamline the process for prior authorization submission and follow up.
Faster payer turnaround time: 79.5% decrease in payer turnaround time (PTAT) from January 2023 to December 2023. Infusion for Health reduced PTAT from 7.59 days to 1.55 days.
Reduced administrative burden: In the past 12 months on SamaCare, Infusion for Health submitted 2,100 PAs across 70 unique payers and 69 unique drugs. Having one portal to submit, track, and manage prior authorizations significantly reduced administrative burden for the Infusion Health Team.
Infusion for Health is a leading outpatient infusion therapy center with 39 locations across 6 states (CA, WA, MI, NV, CO, AZ). Infusion for Health has 24 employees who actively engage with prior authorization management across a wide range of treatments, payers and plans. The complexity of the prior authorization process and follow up was prolonging the time between referral and patient care – so the Infusion for Health team knew they had to take action. Infusion for Health leverages NextGen EMR.
The Infusion for Health team was facing several challenges with complex and inefficient prior authorizations ranging from trouble finding the correct forms, an excessively manual submission process, no central way of submitting and tracking prior authorizations, and no process for prior authorization follow up. The result was that prior authorizations were lost in the scramble to manage high volumes of submissions. Prior authorizations were left in limbo as the practice had no way to centrally track submissions, and no data on how long a prior authorization should take to be resolved.
Infusion for Health partnered with SamaCare to centralize and streamline their prior authorization process. SamaCare’s single portal for submitting, tracking, and managing prior authorizations enables Infusion for Health to streamline their prior authorization process. Through SamaCare, the Infusion for Health team has access to over 100 forms for easier prior authorization submission. Since all prior authorizations are now centrally tracked and accessible to the entire prior authorization staff, the Infusion for Health team can now delegate team members to submit prior authorizations while other team members are responsible for prior authorization follow up. Thanks to SamaCare’s direct integration with NextGen EMR, Infusion for Health was able to automatically populate prior authorization submissions with patient data from their EMR to further streamline the prior authorization process.
Easier access to prior authorization forms across a wide range of payers and plans
A database of 100+ forms accessible through SamaCare’s platform
A streamlined process for submitting and following up on prior authorizations accessible to all staff
One centralized portal for tracking, submitting, and managing prior authorizations accessible to all staff members
A better understanding of typical payer turnaround time to reduce avoidable delays to patient treatment
Unified data and reporting on average turnaround time by payer, plan, and treatment to inform follow up protocol
A way to reduce manual data entry associated with the prior authorization process
SamaCare’s direct integration with NextGen EMR enables automatic patient data population in SamaCare for prior authorizations
Easier access to prior authorization forms across a wide range of payers and plans
A database of 100+ forms accessible through SamaCare’s platform
A streamlined process for submitting and following up on prior authorizations accessible to all staff
One centralized portal for tracking, submitting, and managing prior authorizations accessible to all staff members
A better understanding of typical payer turnaround time to reduce avoidable delays to patient treatment
Unified data and reporting on average turnaround time by payer, plan, and treatment to inform follow up protocol
A way to reduce manual data entry associated with the prior authorization process
SamaCare’s direct integration with NextGen EMR enables automatic patient data population in SamaCare for prior authorizations
From January 2023 to December 2023, the Infusion for Health team reduced payer turnaround time on prior authorizations by nearly 80% – resulting in faster care for patients. This reduction in turnaround time was made possible by Infusion for Health’s new streamlined prior authorization process enabled by SamaCare’s central portal for submitting, tracking, and managing prior authorizations. Further, the Infusion for Health team was able to increase the volume of prior authorizations submitted and resolved without increasing staff resources. Infusion for Health has submitted for 2,100 PAs this year across 70 unique payers and 69 unique drugs.
“SamaCare is essential to our practice – now that we have SamaCare, we can’t imagine being without it! SamaCare helps our team collaborate in one centralized location and efficiently submit and follow up on prior authorizations. With SamaCare, prior authorizations feel like less of a burden.”
Get in touch today and we’ll walk you through how SamaCare can help your practice streamline prior authorizations.
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