Industry Insights

The increase in healthcare utilization, expanding Medicare Advantage enrollment, and the growing reliance on high-cost specialty drugs is expected to drive a surge in PA requests.

This case study highlights the effectiveness of Composer in enhancing operational efficiency and productivity in the healthcare sector, particularly in the context of Prior Authorization processes.

New medications and treatments are introduced to the market. While these drugs are gaining traction, especially due to their potential benefits, they also present unique challenges for health plans and pharmacy benefit managers (PBMs).

The proposed rule change promotes the adoption of electronic prior authorization (ePA) tools to automate the prior authorization process and reduce administrative burden. Banjo Health's prior authorization automation platform can help health plans and providers prepare for the change.