Passage
Clearing the admin path to gender-affirming care
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Overview
About 2.8 million people aged 13 and older in the US identify as transgender. For those seeking gender-affirming care, the hardest part is often not the treatment. It’s the administrative path between a referral and a first appointment: waitlists that run months to years, an added evaluation step, and insurers that have denied 25% of hormone coverage requests and 55% of surgery requests.
Clinic staff carry the other side of it. Prior authorization alone takes about 12 hours of physician and staff time per physician each week, and 94% of physicians say it delays necessary care.
What did I do?
For Inventacare’s Break the Barrier challenge, judged by Redesign Health’s investment team, I designed Passage and pitched it in a video demo. Passage is an admin-only AI tool built on top of the health admin software clinics already use.
AI does the work staff do by hand today: it reads payer policies, assembles prior authorization packets, and matches waitlist openings in real time.
What it unlocks
Fixing the admin layer means patients are seen sooner, with fewer denials and no coverage gaps mid-treatment, and clinic staff spend their time moving patients forward instead of chasing paperwork.
