Meeting the Prior Authorization Challenge


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By PARx Solutions. Discovered by Player FM and our community — copyright is owned by the publisher, not Player FM, and audio is streamed directly from their servers. Hit the Subscribe button to track updates in Player FM, or paste the feed URL into other podcast apps.
Constant changes to insurance coverage and rising prescription costs have made prior authorizations (PAs), the requirement by a patient’s health plan to approve a specific medication as a condition of providing coverage, a growing concern. Many physicians, and their practice staff, are frustrated by the lengthy, time-consuming, complex process of submitting a PA. Further, PA requirements can stand in the way of patients getting the medication that health care providers believe is most appropriate. In fact, when a PA is required, only 29% of patients receive the originally prescribed drug – and 40% receive no therapy at all. When physicians are able to successfully prescribe the treatment they determine is best for each case, everyone benefits: the physician, and most importantly, the patient. Each episode within this series highlights the importance of having a prior authorization provider on your side - whether you are a doctor or a practice staff member.

6 episodes