All Prior authorization

We’re excited to announce a strategic partnership with Salesforce, enabling the Infinitus AI agent to be activated directly from Life Sciences Cloud. With the partnership, Life Sciences Cloud users can utilize the AI agent to call payors and pharmacy benefit managers (PBMs) to verify insurance benefits, navigate prior authorizations, and check the statuses of formulary...

Prior authorization is a utilization management tool – its intention is to keep costs in check while ensuring patients receive appropriate treatments. But in a recent survey, 86% of respondents said prior auths actually resulted in increased use of resources, leading to waste rather than the cost savings they’re intended to create.  And yet, prior...

The Inflation Reduction Act – or IRA – contains $500 billion in new funding and tax breaks intended to boost clean energy, strengthen taxpayer compliance, and reduce healthcare costs. It includes three provisions concerning Medicare prescription drug prices that have the potential to dramatically impact the pharmaceutical industry, and patient support in particular. For a...

Last week, members of the Infinitus team attended Asembia’s AXS24 Summit, the annual conference that brings together leaders from across the pharmaceutical landscape to discuss the industry’s biggest trends, issues, and developments. Every Asembia summit is a chance to learn – and not only from speakers who take the stage – and this year’s conference...

Healthcare professionals generally gravitate to the field because they genuinely want to help people. In my experience, from senior clinicians to researchers to administrative staff, everyone’s goal is to ensure patients get the right treatment as quickly as possible. One thing not on their career plan? Spending hours on the phone trying to complete benefit...

As the American Medical Association puts it, prior authorization creates “a huge administrative burden” for healthcare providers that often delays patient care. Despite this, reports suggest prior authorizations are increasingly common – and are increasingly leading to problems. The good news is: Prior authorization automation – especially in patient access programs – can be a...

When it comes to prior authorizations (PAs), ePA or 278 solutions aren’t enough. It’s often challenging to resolve complex or time-sensitive prior authorizations electronically. Details such as PA status, denial reasons, and appeal options either aren’t readily available or the turnaround time is too long. In these cases, healthcare providers’ staff often manually call a...

To date, Infinitus automates calls on behalf of healthcare providers to more than 500 payors. Those calls are faster and result in more accurate data for our customers, but we’re still often asked: Why do payors take calls from the Infinitus digital assistant? As it is for healthcare providers, digital transformation is a top priority...

When it comes to benefit verifications, ambulatory surgery centers are under intense pressure to turn around authorizations quickly. However, it’s not uncommon for this crucial task to take longer than expected. Coverage information online is often incomplete, and staff must make multiple calls to payors to close out inquiries and ensure procedural dates are met....

Healthcare executives in Pharmaceutical and Specialty Pharmacy industries are stuck between a rock and a hard place. Their staff is overwhelmed with a backlog of tasks, including calls to payors and PBMs to verify patient benefit information. While the status quo has been to hire more people, candidates are nowhere to be found and this...

San Francisco — May 16, 2023 — Infinitus Systems, Inc., the Conversational AI Platform for Healthcare, today announced that Gramercy Surgery Center, the #1 Ambulatory Surgery Center (ASC) in New York, has chosen Infinitus to automate tedious and time consuming tasks of insurance verification and prior authorization across its care sites. With Infinitus, Gramercy aims...