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Meeting the Prior Authorization Challenge

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Content provided by PARx Solutions. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by PARx Solutions or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
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.
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Manage series 3081384
Content provided by PARx Solutions. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by PARx Solutions or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.
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.
  continue reading

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