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The electronic prior authorization tipping point

Today’s prior authorization (PA) process for certain high-cost medications is often a lengthy, manual back-and-forth process among the doctor, payer, pharmacy and patient. But times are changing, and about 20 states have legislation proposed or in place to improve the process with electronic prior authorizations (ePA). The industry is at a tipping point and ready for change. Health IT partnerships with payers and life sciences companies can enable physicians to obtain PA electronically, leading to faster patient access to medications and reduced rates of prescription abandonment. Manual prior authorizations aren’t working According to Frost and Sullivan, about 70% of patients who encounter a manual, paper-based PA do not receive the original prescription, and patients abandon about 40% of manual PAs. With 180 million PAs each year, we can estimate that about 72 million prescriptions are abandoned each year. Manual PA […]