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Authorization Workload
Understand the work required to manage authorization requests across the process.
A new framework from The Prior Auth Index
Introducing the Prior Auth Operating View Framework
A new way to measure the work behind prior authorization.
Prior authorization performance has traditionally been discussed through approval rates, denial rates, and turnaround times. But those numbers don't capture how much work it actually takes to get an authorization resolved.
The Prior Auth Operating View Framework expands how that work can be measured.
Developed by The Prior Auth Index, it introduces three connected areas of measurement: Authorization Workload, Failure Origin, and Resolution Burden. Together, they offer a structured approach to examining the operational demands of prior authorization and identifying patterns that traditional reporting may miss. The framework is an emerging approach developed by The Prior Auth Index, not an industry-validated measurement standard.
The framework is accompanied by the 30-Day Visibility Pilot Guide, giving organizations a practical starting point for applying it to their own operations.
The framework
Three connected areas of measurement
The Operating View provides a common structure for examining authorization work across three areas.
02
Failure Origin
Identify where problems begin and the circumstances associated with them.
03
Resolution Burden
Measure the additional effort required to move requests toward resolution.
Free resources
Explore the Operating View
Everything you need to review the framework and begin evaluating how it could work within your organization. Both resources are available without registration.
FRAMEWORK · PDF
The Prior Auth Operating View
Start with the framework itself. See how the three measurement areas fit together and what each is designed to capture.
View framework ↗IMPLEMENTATION GUIDE · PDF
30-Day Visibility Pilot Guide
A structured guide for putting the framework into practice through a focused 30-day pilot.
View pilot guide ↗Implementation & collaboration
Interested in bringing the Operating View to your organization?
The framework and resources are freely available to explore. For organizations interested in discussing a pilot, implementation support, or collaboration, The Prior Auth Index welcomes the conversation.
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Original analysis on prior authorization policy changes, public reporting, operational workflows, and the data gaps behind them.