Electronic health record systems (EHRs) representing 79 percent of market share are committed to implementing an electronic prior authorization (ePA) solution. Seventy percent currently have ePA available.
Only 31 percent of physicians reported knowing if a PA was required while prescribing a medication.
On average, providers who exclusively use an electronic method for PA requests report spending 2.5 fewer hours on PA each week. However, few providers reported exclusively using an ePA solution, with 76 percent of reportedly using more than one channel to complete PA requests.
In January 2018, H.R. 4841, the Standardizing Electronic Prior Authorization for Safe Prescribing Act, was introduced in the U.S. Congress. This bipartisan bill is designed to move the needle on ePA usage in the Medicare Part D Program, improving prescription access for Medicare beneficiaries.
A recent study indicated specialty drugs account for nearly 33 percent of the total Medicaid drug spend, despite only 0.9 percent of the nearly 75 million Medicaid patients utilizing specialty medications.
Specialty medications account for 33 percent of total Medicaid drug spend. Non-adherence to specialty medications can create an even costlier burden, further proving the importance of ePA adoption for Medicaid.
If you have any questions regarding the latest edition of the scorecard, please reach out to VP of Industry Relations, Perry Lewis at firstname.lastname@example.org.