AMCP 2023 Panel Argues for Patient-Centered Prior Authorization

March 24, 2023

Prior authorization is a complex, lengthy process that stands between patients and the drugs they need. In a panel at the Academy of Managed Care Pharmacy 2023, Heather Odem, PharmD, of UnitedHealthcare and Richard Ogletree, PharmD, of Alliant Health Solutions spoke about the need to shift measures used in prior authorization decision-making to benefit patients.

According to Maggie L. Shaw, “Digital solutions can be employed at both the prescriber and provider levels to remove unnecessary barriers, not create an additional platform to process information. At the prescriber level, this might encompass integrating a real-time benefit check into an electronic medical record (EMR), using electronic PA with real-time automated approvals, or incorporating decision support tools into the provider portal. And at the pharmacy level, automated point-of-sale review could take place based on information contained in the patient record, such as demographics, medical claim history, and pharmacy claim history.”

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(Source: AJMC, March 22nd, 2023)

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