It’s been a busy year in the health care technology space.
While a host of new health care technologies entered the scene, experts stress the importance of partnering with those that best support the needs, preferences and workflows of providers.
By embracing new technology integrated within their workflow, providers can help improve outcomes and build trust in a landscape filled with doubt.
Real-time benefit check (RTBC) and electronic prior authorization (ePA) are two such solutions, integrating into a provider’s existing EHR, providing prescription decision support and improving workflow efficiency at the point of prescribing. With RTBC, providers can surface patient benefit information, prescription cost, formulary alternatives, cash price options and pharmacy details so they can facilitate open, constructive conversations with their patients about medication access.
By engaging patients at the point of prescribing, providers can help patients make more informed health care decisions, with clear options laid in front of them. Through visibility, an effective RTBC solution has led to nearly 20 percent more patients picking up their prescriptions from the pharmacy. 1 This patient adherence has the potential to reduce readmission rates and future illnesses.
Though RTBC surfaces possible medication alternatives, usually the best route for patients is their originally prescribed medication – which may require a prior authorization. In one study, an overwhelming 76 percent of physicians stated they’ve switched treatments at least once to avoid dealing with the PA process.2 Often, these are brand medications patients have come to know and trust, and a switch could decrease medication adherence, leading to worsening health outcomes.3
Completing PA requests electronically eases the burden for both providers and their staff by streamlining office efficiency and reducing time spent in communication with health plans and pharmacies.
During a recent study, 65 percent of medications were dispensed to patients within one hour when PA requests were completed electronically.2 For comparison, it took a full day before any medications were dispensed when PA requests were completed manually, via phone calls and faxes.4
With an end-to-end solution, IntelligentPA catches the prescription requests that arrive at the pharmacy before a provider realizes they need a prior authorization. This solution initiates PA requests for the provider automatically, getting medications in patient’s hands faster than without it, which improves patient medication adherence.
CoverMyMeds solutions integrate into the existing EHR, so workflow keeps flowing. Supported by these solutions, physicians are more inclined to prescribe their medication of choice and less likely to avoid a particular brand that may be associated with high PA volume.3
To see your EHR’s integration status with CoverMyMeds solutions, go to this link and click “Is my EHR integrated?”
CoverMyMeds will be attending the following health conferences this fall to answer your questions face-to-face and talk more about integrated solutions that are improving provider workflows and patient outcomes:
MGMA19 The Annual Conference
New Orleans, LA
CHIME CMIO Fall Forum
RxBenefit Clarity Helps Improve Medication Adherence by nearly 20 Percent, Cision PR Newswire, 2019
Steffen, B., Sharp, D. Recommendations for Implementing Electronic Prior Authorization: a report prepared for the Maryland General Assembly Joint Committee on Health Care Delivery and Financing. December 2011.
The Impact of the Prior Authorization Process on Branded Medications: Physician Preference, Pharmacist Efficiency and Brand Market Share. Frost & Sullivan
Improving Medication Access Through Network Connections to Impact More Patients, Drug Channels, 2019