Valer

Some re-introductions are in order! Today, we’re thrilled to officially announce our rebrand from Voluware to Valer®, taking the name of our industry-leading #PriorAuthorizations and #ReferralManagement solution. This evolution accompanies a new era of company growth, product innovation, partnership expansion, enhanced client service, and more. While there’s a good bit of change ahead, Valer will continue to be the gold standard for automating complex manual prior auth workflows. We’re really excited about this next chapter for our clients, partners, and team. Learn more in our latest press release (and take a look around the new website!): https://hubs.la/Q02gBCZk0

A proposal aimed at streamlining prior authorization through CPT codes was recently withdrawn after the American Medical Association revealed that prior authorization is already specified in the long descriptions of certain CPT codes—information rarely accessed by physicians. A Fierce Healthcare piece by Noah Tong emphasizes the need for better access to and understanding of these descriptions to ensure proper billing and reimbursement. The AMA is working to publish new resources on its website to help physicians better understand the codes and provide answers to coding and billing questions. https://hubs.la/Q02FHnPk0

You’re not going to want to miss our next webinar, focused on the tactics that health systems are using to streamline the #PriorAuth process. The session will be moderated by Elizabeth Woodcock at Patient Access Collaborative and feature an engaging conversation between Ryanne Laurence from OHSU and Kevin Jennings from CHOA. Register now to reserve your spot: https://hubs.la/Q02FHnyq0

Does your physician practice submit more than 2,000 prior authorizations each month? If so, Valer is the solution for you. We’re experts in prior auth management for mid to large size physician practices, automating and customizing your workflows to increase staff efficiency and patient access to care. Learn how our solution is built around you: https://hubs.la/Q02DKxzC0

A recent RevCycleIntelligence article from Jacqueline LaPointe highlighted the significant challenges physicians face due to #PriorAuthorizations. The piece features insights from the recent American Medical Association's Prior Auth survey, reporting that the cost containment strategy leads to delays in patient care, increased administrative workload, and, in some cases, serious adverse events. Despite the intended goal of ensuring necessary treatments, the reality is that these authorizations frequently cause treatment abandonment and create barriers to timely care. AMA President Bruce Scott, MD, calls on Congress to adopt reform legislation to reduce these burdens and improve patient access to care. https://hubs.la/Q02DKJrw0

The American Medical Association recently held its Annual Meeting. Unsurprisingly, prior authorization processes were among the key discussion points. Prior authorization is an often-frustrating process that physicians and other healthcare professionals face regularly. The lack of information included in denial letters is particularly concerning, according to an AMA Council on Medical Service report adopted at the Annual Meeting. Learn how AMA will push for payers to include detailed information in prior auth denial letters. https://hubs.la/Q02CVbys0

Becker's Healthcare spoke with various hospital CFOs to understand what is affecting bottom lines and where there are opportunities for improvement. One key solution? Automation and AI for administrative tasks like #PriorAuth. Leveraging technology to automate time-consuming tasks is critical to driving growth and improving patient care. At Valer, we know exactly what workflow automation your organization needs to speed and simply prior auth processes. Learn more about what we do here: https://valer.health/ For the full Becker’s piece, follow this link:  https://lnkd.in/e8VrVB8x      

A bipartisan group of lawmakers has reintroduced legislation to overhaul the #PriorAuthorization process for Medicare Advantage plans. The proposed bill seeks to streamline the approval process, reduce administrative burdens for healthcare providers, and ensure patients receive timely access to necessary medical treatments. The legislation also mandates increased transparency from health plans, requiring clear and specific reasons for any delays or denials of prior auth requests. If adopted, changes could take place in the beginning of 2027. Learn more: https://hubs.la/Q02CVj770

Thanks to our great panel of experts for making last week’s Prior Authorization Regulation webinar a success 🤩 - Steve Kim, Valer - Michele Madison, Morris, Manning & Martin, LLP - Tim Holland, The Wilshire Group - Evan Martin, The Wilshire Group It spurred a lot of great conversation, and we’re excited to see how the discussions evolve along with the changing landscape of prior auth regulation. If you didn’t have a chance to catch the live event, you can watch it on demand today at https://hubs.la/Q02CJS_50

A recent survey by the American Medical Association highlights the significant challenges posed by #PriorAuthorization on both patient outcomes and physician wellbeing. Below are just a few of the staggering statistics reported by physicians. PA Impact on Patients: • 94% of physicians reported that prior authorizations cause delays in care. • 22% noted treatment abandonment due to prior authorization issues. • 24% observed adverse events, with 19% linking these to hospitalizations and 13% to life-threatening situations. • 79% indicated patients often pay out-of-pocket for medications due to prior authorization delays. PA Impact on Physicians: • 95% of physicians report burnout attributed to prior authorization requirements. • 35% of practices have staff solely focused on prior authorizations. • 27% of prior authorization requests are often or always denied. • 87% noted that prior authorizations lead to higher overall healthcare utilization, including ineffective treatments, additional office visits, emergency care, and hospitalizations. These findings underscore the urgent need for reform in the prior authorization process to enhance patient care and reduce the burden on healthcare providers. Automating the prior auth process is a step in the right direction towards reducing abandoned treatments, boosting provider and staff wellbeing, and increasing revenue. Learn how automation can streamline your operations through Valer’s customizable workflow solution made to fit your organization’s needs. https://valer.health/ To access the full AMA survey, follow this link: https://lnkd.in/eZmxTzNT