Administrative Burden
Definition
Physicians spend 12 hours weekly on prior auth, leading to treatment delays impacting 78% of patients; cumbersome process noted in Australia's hybrid system with Department of Health oversight.
Key Findings
- Financial Impact: AUD 2,400/physician/week; up to 50% capacity loss from delays/denials
- Frequency: Ongoing daily workflow
- Root Cause: Paperwork, follow-ups, and inconsistencies across private insurers
Why This Matters
The Pitch: Hospitals in Australia lose 12 hours/physician/week (AUD 2,400) to prior authorisation. Automation frees capacity for 20-30% more patient treatments.
Affected Stakeholders
Clinicians, Administrative staff
Deep Analysis (Premium)
Financial Impact
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Current Workarounds
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Methodology & Sources
Data collected via OSINT from regulatory filings, industry audits, and verified case studies.
Related Business Risks
Prior Authorisation Delays
Denial Risks
Missed Charity Care Write-Offs
Charity Care Policy Non-Compliance Fines
Delayed Collections from Eligibility Delays
Manual Remittance Processing Bottlenecks
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