Turn authorized care into visible, accountable service execution.
01 · The Operational Breakdown
An authorization does not mean a service happened. Between approval and confirmed delivery, care disappears into provider outreach, network gaps, and exception queues no one can see across members and regions.
Who this pathway involves
02 · Why It Fails
Make the handoff, responsible team, and unresolved requirement visible.
Authorization is tracked; service execution is not.
Provider outreach happens one member at a time, with no network-wide visibility.
Capacity and credential gaps surface late, after a member is already waiting.
Exceptions pile up in individual queues without ownership or escalation.
Readiness dependencies Elizian makes visible
03 · What Elizian Executes
Define each requirement, responsible team, next action, and completion record.
- 01Member transition coordination
- 02Provider outreach
- 03Service activation
- 04Network response
- 05Coverage gaps
- 06LTSS coordination
- 07Complex-care routing
- 08Placement
- 09Case escalation
- 10Quality tracking
- 11Post-transition follow-up
- 12Network-capacity visibility
04 · What Leadership Can Measure
Measures to evaluate with your team.
Share of authorized services with a recorded provider-confirmed start
Days from authorization to confirmed service initiation
Provider response rate and acceptance or decline reasons
Open access exceptions by region and service at the review date
Members beyond the agreed service-start window at review
Reported network capacity and utilization by service
Define the reporting period and population for each indicator. Measure elapsed time between the stated events and require recorded provider or responsible-team confirmation; an administrative closure is not evidence of clinical service completion. These are measures to evaluate, not customer results.
Discuss your operational priorities.
Request an Executive Briefing
The Elizian team can discuss your health plans and mcos workflow requirements, action owners, unresolved dependencies, and completion evidence.