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webinars

A Modern Automation Strategy to Address Prior Authorization Compliance

Dates:
Nov 19, 2024
Time:
12:00 pm EST
Presented by Red Hat
Register Now Registration takes place at a third-party website.

About This Webinar

The CMS Interoperability and Prior Authorization final rule published in early 2024 requires payers to evolve their IT strategy to increase the rate of initial approval for prior authorization, meet transparency requirements, and shorten response timelines. This will require the ability to access and exchange secure patient data while also making decisions quicker and with greater accuracy, a complex and resource intensive task for payers.

To meet the provisions set within the rule, many payers are looking for solutions beyond traditional business process automation, rule-based systems, and analytics.

In this webinar, Red Hat will review their open-platform approach to achieving prior authorization compliance and claims modernization. We’ll share best practices in this approach from Red Hat customers, specifically in building an automation strategy along with a recommended architecture.

Attendees Will Learn About

  • The limitations in current solutions for prior authorization
  • The role (and value) of automation, including the potential use of AI to augment clinical staff decision-making, in support of current and future payer needs
  • Red Hat’s open platform approach for compliance and claims modernization
  • Best practices from Red Hat payer customers

Presenters

Dwight French

Global Healthcare Principal

Red Hat

Dwight has more than 20 years of business leadership and experience in the health insurance, provider, and life science sectors. His work serving health care includes executive positions at BearingPoint (formerly KPMG Consulting), SVP of Enterprise Product Management at HMS Holdings Corp (HMSY-US), Chief Business Development Officer at Santa Clara County IPA (SCCIPA), and co-founder of a…

Learn more about Dwight French

Dean Peterson

Associate Principal Specialist Solution Architect

Red Hat

Dean Peterson is a distinguished technologist and Cloud Solution Specialist with over 20 years of experience in software development and system modernization. Holding a Bachelor's degree in Computer Science and a Master's in Software Engineering, he currently serves as an Associate Principal Specialist Solution Architect at Red Hat. In this role, Dean excels in guiding innovation and aligning…

Learn more about Dean Peterson