Sleep Medicine Utilization Management
Right-size home sleep testing vs polysomnography and streamline PAP therapy approvals to drive adherence.
Program Impact
0 %
HSAT First
0 %
PAP Adherence Supported
0 %
Auto-Auth Requests
0 %
In-lab Studies Reduced
HSAT vs In-lab PSG (last 12 months)
share of ordered studiesShift toward HSAT where appropriate; in-lab PSG reserved for complex indications.
Snapshot
- Median decision time16m
- Turnaround ≤24h94%
- PAP start within 14d↑ 15%
- Resubmission rate↓ 23%
Modules
Guideline Engine
Evidence-based criteria for HSAT vs PSG and therapy steps.
Ordering Support
Clear documentation prompts, fewer back-and-forths.
Auto-Auth
Deterministic rules for common sleep indications.
Peer Review
Rapid sleep specialist review and same-day P2P.
Adherence Support
Education + follow-up pathways to improve PAP success.
Insights
Transparency on appropriateness, turnaround, and outcomes.