The Future of Prior Authorization: AI, Automation and What’s Next for Payers
2 mins read
On Demand Prior Authorization Webinar
Overview
The UiPath and Genzeon webinar, “The Future of Prior Authorization,” explored how automation and agentic AI are reshaping prior authorization (PA) in healthcare. Speakers highlighted how the CMS Final Rule 0057 and looming regulatory deadlines are creating both compliance pressures and opportunities for payers to transform operations.
Key themes included:
- Compliance vs. Transformation: Some payers view PA modernization as a regulatory checkbox, while others see it as a chance to reinvent clinical operations with automation and AI.
- Quick Wins: Automation in intake, communication generation, and case building can rapidly reduce administrative burden.
- Platform Approach: Point solutions may deliver short-term gains but risk fragmentation. A unified platform, combining RPA, intelligent agents, and human-in-the-loop oversight, ensures scalability and ROI.
- Clinician Experience: Tools that summarize records and highlight criteria ease burnout and reduce turnaround times.
- Guardrails & Governance: Properly designed automation reduces risk of inappropriate denials and ensures compliance.
- Proof in Action: Live demonstrations showcased how Genzeon and UiPath solutions process PA requests with speed, accuracy, and human oversight.
Speakers
- Sophia Pruitt, Senior Solutions Engineer at UiPath
- Vinit Singhal, Payer Strategy Lead at Genzeon
- Harsh Singh, General Manager, Healthcare at Genzeon
- Prashant Krishnakumar, AI & Automation Practice Lead at Genzeon
