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Home » Implementation of Real-Time AI AUTERIERE Authorization by Highmark Health
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Implementation of Real-Time AI AUTERIERE Authorization by Highmark Health

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Highmark Health and Abridge Technology Enhance Patient Care

Introduction of Abridge Technology

Abridge Technology is set to be implemented across 14 hospitals within the Allegheny Health Network and the Highmark Insurance division. This significant move highlights the growing collaboration between technology firms and health systems to improve patient care.

Real-Time Clinical Documentation

Highmark Health, headquartered in Pittsburgh, is partnering with Abridge to incorporate ambient clinical documentation. This technology allows for the capture of clinical notes in real time through an integrated health system, ultimately streamlining workflows for healthcare providers.

Abridge’s Role in Patient Care

The initial phase of this collaboration will deploy the Abridge ambient clinical intelligence platform in outpatient settings, followed by a broader rollout throughout the health system. Using a smartphone app or a laptop, clinicians can document conversations, which then integrates seamlessly into the patient’s electronic health record.

Improving Provider-Patient Interaction

Evidence from Allegheny Health Network indicates that 92% of patients felt their healthcare providers were more attentive during visits when ambient scribe technology was in use. This meaningful engagement leads to better healthcare experiences for both patients and providers.

Streamlining Prior Authorization

Highmark Health and Abridge are also collaborating to create a more efficient prior authorization process. Delays in securing approvals often hinder timely patient care. By leveraging AI technology, this typically weeks-long process can be condensed to mere minutes, according to Dr. Shiv Rao, CEO and co-founder of Abridge.

Enhanced Approval Process

Highmark Health Plan has already seen significant improvements in the approval process for prior authorizations. Utilizing a pre-approval system based on historical practice patterns, Abridge accelerates this process by validating necessary documents in real-time during patient visits. This ensures that physicians and insurers are aligned from the outset, reducing the likelihood of documentation-related denials.

The Future of Healthcare Technology in Pennsylvania

Various teams within Highmark Health, particularly from its Healthtech subsidiary Engen, are working to activate and advance these innovative technologies. This partnership further solidifies Western Pennsylvania’s role as a hub for developing and investing in cutting-edge healthcare solutions.

Conclusion

As Dr. Tony Farah, Chief Medical Officer for Highmark Health, noted, this collaboration with Abridge represents a critical step in eliminating unnecessary delays in patient care. By focusing on proactive decision-making and efficient processes, both organizations are committed to delivering timely and effective healthcare services.

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AI shortens the monthly financial closing period to 7.5 days: Research from MIT and Stanford

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