The Latest From Ethermed
Welcome to Ethermed's newsletter: Behind the Auth, your go-to source for updates on prior authorization trends, regulatory shifts, and how technology is shaping the industry. You're receiving this because you're part of a growing network of healthcare professionals, payers, and industry leaders working to make prior authorizations more efficient.
At Ethermed, we believe prior authorizations shouldn’t be a bottleneck to care. That’s why we’re reducing manual burdens, eliminating delays, and enabling smarter, more streamlined processes behind the scenes—so you can focus on what truly matters: delivering better patient outcomes.
Scaling Faster, Automating Smarter. Is Your Org Ready for CMS Compliance?
Prior authorization isn’t just paperwork—it directly impacts costs, efficiency, and patient outcomes. As the CMS Interoperability Rule (CMS-0057-F) pushes for faster, more transparent prior auth processes, payers and providers must adapt. At Ethermed, we’re not just keeping up with this shift—we’re driving it. By improving authorization workflows, reducing delays, and increasing approval rates, we’re helping organizations stay ahead of compliance changes while improving patient care. Here’s how we’re making an impact:
Automation
89%+ of 3M authorizations automated with zero workflow disruptions
Accuracy
91% first-time approval rate, reducing delays and minimizing resubmissions.
Savings
$2.3M+ in annual savings in prior auth overhead for one client
Speed
Processing time of 3.9 seconds, compared to the 20–30 minute AMA average for prior auth.
Industry Spotlight: The Prior Auth Challenge
While progress is being made, prior authorization remains a major challenge, placing administrative burdens on both providers and payers and delaying critical patient care. Recent data highlights the scope of the issue:
93% of physicians report that prior authorization delays access to necessary care.
94% of physicians say prior authorization has a negative impact on patient clinical outcomes.
13 hours per week on prior authorization tasks, completing 39 PAs per physician, per week.
40% of physicians have staff dedicated solely to handling prior authorizations.
Prior auth delays cost the industry $300 billion annually, and automation alone isn’t enough to solve the problem. True efficiency requires seamless integration, smarter decision-making, and reducing unnecessary back-and-forth. Read more on the latest industry stats
The Future of Prior Authorizations is Here
We’re not just automating prior auth—we’re fixing the process at its core. Payers and providers don’t need more tools, portals, or workarounds. They need intelligent AI that reduces manual labor, eliminates paperwork, and ensures faster, more accurate approvals—without disrupting existing workflows. Unlike solutions that rely on clinical staff behind the scenes to push authorizations through, Ethermed integrates directly into payer and provider systems, automating what should be automated and removing inefficiencies at the source. The result? Fewer administrative burdens, faster decisions, and a seamless experience that improves both operational efficiency and patient care. Let’s talk about how we can help your organization.
