Aetna Standardizes 88% of Prior Authorizations, Cuts 1M Provider Calls
Aetna has standardized 88% of prior authorizations and approved 95% of requests within 24 hours while processing 83% in real time and cutting over one million provider calls. It also launched bundled musculoskeletal and cancer programs and combined medical and pharmacy reviews into single assessments.
1. Standardizing Authorization and Automation Metrics
Aetna has standardized 88% of prior authorizations, surpassing industry commitments, and approves over 95% of eligible requests within 24 hours. Real-time processing covers 83% of cases, and automation tools have eliminated more than one million provider calls to accelerate access to care.
2. Launching Bundled Programs and Integrated Reviews
The company introduced bundled prior authorization for musculoskeletal conditions and expanded existing cancer bundles, aiming for streamlined approvals. It also integrated medical and pharmacy decision-making into single, condition-specific reviews to simplify processes for patients and providers.