🚀 Silna: The Physician’s Perspective of Prior Authorizations
ABA Business Leaders is excited to be partnered with Silna , a groundbreaking healthcare tech company automating upstream insurance processes—prior authorizations, benefit verification, and eligibility monitoring—using AI.
🌐 Context: A Massive Administrative Challenge
Silna launched its Care Readiness Platform (CRP) on March 25, 2025, after quietly developing the solution for two years and securing $27 million in funding led by Accel and Bain Capital Ventures ( silnahealth.com ). This investment reflects the critical need to tackle the $500 billion annual “administrative waste” tied to RCM and insurance workflows.
Silna’s founding was driven...
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by real-world pain. Statistics across the industry indicate a key administrative frustration which can be traced back to prior authorizations:
- 94% of physicians say prior authorizations delay necessary care.
- 78% of patients abandon treatment due to PA hassles (silnahealth.com).
🩺 Aligning with Physician Concerns and Industry Reform
A recent Forbes article underscores a growing concern across the healthcare landscape: providers are deeply frustrated by the inefficiencies in the prior authorization process and increasingly alarmed at how these delays can cost lives. As the article puts it plainly, “PA processes … get in the way of sound patient care.”
Whether it’s physicians in hospital settings or BCBAs supporting children and families in ABA therapy, practitioners are being forced to spend valuable time navigating insurance red tape instead of delivering the care they were trained to provide.
This strain has prompted insurers like Aetna, Cigna, and UnitedHealthcare to publicly commit to reform—pledging streamlined PA requirements and a shift toward electronic, ahead-of-care approvals.
While these commitments are a step forward, the need for real, scalable solutions is urgent—and that’s where platforms like Silna come in. Their AI-powered CRP allows providers to stay focused on care while the system handles the complexity.
🎯 What Makes Silna Stand Out
- Operational in 45 states, handling both government & commercial insurers.
- Streamlined authorizations and benefit checks already benefiting over 50,000 patients.
Silna’s Comprehensive CRP includes:
- Prior Authorization: Automates tracking, submission, follow-up, and reminders.
- Benefit Checks: Verifies coverage, authorizations, usage limits, and accumulations.
- Insurance Monitoring: Checks patient eligibility, flags coverage loss, and identifies new plans.
These features cut complex manual tasks from hours to simple 30-second AI-enabled processes.
📈 Why ABA Business Leaders Should Care
For providers across specialties—including ABA, physical therapy, occupational therapy, speech therapy, senior care, psychiatry, and cardiac rehab—prior authorization delays aren’t just an administrative nuisance; they’re a direct threat to financial stability, regulatory compliance, and patient care.
Every day a treatment is stalled waiting for approval is a day of lost revenue, missed clinical opportunity, and heightened patient frustration.
By integrating Silna’s CRP, clinics can take a proactive approach to this challenge. The system reduces administrative overhead by automating the most time-consuming parts of the PA process—leading to fewer denials and faster approvals.
This automation gives providers back valuable time for patient-facing care, clinical decision-making, and collaboration. Patients benefit from smoother experiences, greater continuity, and reduced risk of dropping out due to red tape.
🏁 In Summary: A Timely Solution
The burden of prior authorizations is one of the most significant pain points in healthcare today—not just for providers, but for the patients they serve. Physicians across the country are calling out these outdated processes that delay care and increase cost.
While the industry is slowly transitioning to more electronic and proactive solutions, many providers are still stuck in manual workflows. Silna’s CRP offers a proven, scalable path forward. Already live in 45 states, it empowers providers to move beyond reactive systems into streamlined, AI-powered care readiness.
✅ Ready to Take the Next Step?
If you're tired of losing time and money to benefit checks, authorizations, and backend chaos, you're not alone—and you don’t have to keep doing it the hard way.
Silna Health is offering an exclusive extended free trial just for 3 Pie Squared fans. Never worry about another benefit check again.
Their Care Readiness Platform makes sure every client is cleared before care starts—so you can focus on what matters most: delivering quality, ethical ABA services.
🚀 Claim your extended trial of Silna Health📊 Take the free ABA Business Readiness Assessment📅 Book a call with Stephen for personalized guidanceLet’s stop the guessing—and start building something sustainable, efficient, and aligned with your values.
