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Press Release

Edifecs Statement of Support: “Improving Seniors’ Timely Access to Care Act”

September 13, 2022

BELLEVUE, Wash. – September 13, 2022Edifecs, Inc., a global health information technology solutions company, today released the following statement in support of H.R. 8487, Improving Seniors’ Timely Access to Care Act of 2022.

The following statement is issued by Edifecs on behalf of its CEO, Venkat Kavarthapu.

“The House Ways and Means Committee’s approval of the bipartisan, bicameral ‘Improving Seniors’ Timely Access to Care Act’ (H.R. 8487) represents a significant step forward toward setting requirements and standards relating to prior authorization processes by payers and providers for Medicare beneficiary. Edifecs fully supports the meaningful work of Rep. Suzan DelBene (D-WA) for drafting strong legislation and building support among her colleagues on both sides of the aisle on this important issue that will ultimately simplify the prior authorization process.

“According to the Washington State Medical Association, ‘prior authorization—with its numerous requirements, ever-changing criteria, and reliance on outdated technology (fax machines and 800 numbers)—was identified as the paramount administrative challenge faced by physicians and practices.’ With its decades-long experience consolidating data between payer and provider organizations, Edifecs, a global health IT company, is introducing a fundamentally new prior authorization solution that brings direct provider integration, AI-driven data collection based on established clinical criteria and automated utilization management Payer workflows to speed up patients’ treatment and avoid delays in access to care.

“With an industry focused, now more than ever, on timely patient-centered care, artificial intelligence, machine learning and natural language processing technology have the power to transform the fraught prior authorization experience. Management consulting firm, McKinsey & Company recently reported, ‘AI-enabled prior authorization can automate 50-70% of manual tasks, boosting efficiency, reducing costs, and freeing clinicians at both the payers and providers to focus on complex cases and actual care delivery and coordination.’

“Edifecs offers its full support to Representative DelBene and the bill’s co-sponsors working to reduce the burdens on physicians and patients and ensure Medicare Advantage plans are not inappropriately denying medically necessary care – a mission we are deeply committed to through meaningful healthcare technology innovation.”

On September 13, 2022, Edifecs announced the launch of its prior authorization solution that fully automates prior authorization at the point of care, leading to improved member experiences, enhanced outcomes, ongoing compliance, and reduced administrative burden.

To learn more about Edifecs prior authorization, please visit: https://www.edifecs.com/solutions/prior-authorization

About Edifecs

Edifecs is a premier technology company in the US Healthcare market with solutions focused on interoperability, workflows, value-based care analytics, and payment programs. With innovative technology and solutions, Edifecs helps its customers by optimizing the secure exchange and processing of administrative and clinical data, reducing the cost of meeting various regulations, and automating workflows involved in multiple core processes within the healthcare ecosystem. Edifecs is a frontrunner in bringing new technology for B2B data exchange in healthcare streamlining business processes from “card to care,” and reducing the industry burden associated with data provisioning at the points of enrollment, care, payment, and reporting. With the advent of FHIR and new regulatory guidance from HHS, Edifecs has emerged as a leader in easing the effort associated with achieving compliance with new federal rules and in making the healthcare consumer the primary stakeholder. The company is headquartered in Bellevue, Washington, with additional offices in Atlanta, Georgia, San Francisco, California, and Mohali, India, engineering centers in Moldova, Belarus and Ukraine, and has more than 1,000 employees.

 

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Media Contact:
Janet Hohmann
415-240-6904
janet.hohmann@edifecs.com