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Electronic Prior Authorization Delivers the “Holy Grail” of Healthcare: Increased Patient Safety, Lower Costs and Higher Quality

When patients visit a doctor’s office or pharmacy, they want convenience. Consumers expect care to be delivered with ease and efficiency, so they can follow their providers’ recommendations with confidence. But when physicians don’t know if their patients’ medications will be covered by insurance or patients are forced to wait to fill prescriptions only to find out they can’t afford them, the process breaks down for everyone.

Can Manual Prior Authorizations Damage Patient/Provider Relationships? One Doc’s Word of Caution

Prior authorizations cause significant frustration in healthcare today, partly due to the fact that physicians and their staff are forced to spend up to eight hours per week manually processing them. With most patient appointments being less than 15 minutes and much of that time being spent verbally rehashing medical histories, providers and patients are more pressed for time than ever.

Community Health Network Sees Results with CompletEPA®

It shouldn’t be difficult to determine which drugs will be covered by a patient’s health insurance, but providers understand all too well that obtaining medication prior authorizations is a long, frustrating process. It not only impacts providers and their administrative staff, but patients too. The phone calls, faxes and related run-around can prevent patients from getting their medications for days or weeks, negatively impacting their treatment plans and, in some cases, their health outcomes.

Live Video Chat Recap: Healthcare Leaders Discuss the “Abysmal” Prior Authorization Process and Opportunities to Fix It with Technology

Abysmal. That’s the first word that comes to mind when Mandi Bishop talks about today’s prior authorization process. During Surescripts’ early-December live video chat, Taking the Pain Out of Prior Authorization, Bishop, co-founder of Aloha Health and a passionate patient advocate, said the process has become a “tragic comedy.”

Taking the Pain Out of Prior Authorization: Live Chat on 12/1

To discuss the challenges and frustrations associated with today’s archaic manual prior authorization process -- and explore how automation significantly reduces processing time, costs and medication delays -- please join Surescripts on December 1 at 1:00pm ET, as we host a live video chat on “Taking the Pain Out of Prior Authorization.”

Survey: Providers, EHR Vendors Weigh-In on the Importance of Electronic Prior Authorization

For providers, the term “prior authorization” (PA) often evokes feelings of extreme frustration. Prior authorization is used to determine if certain drugs, such as high cost medications used for cancer treatment, are covered by a patient’s health insurer and able to be prescribed. Although designed to control costs, providers have grown extremely aggravated with the process, spending five to eight hours per week handling these requests when manual processing is the only option.