Value of In-workflow ePA
Since 2014, ePA volume through EHR systems who have partnered with a large ePA vendor has increased by over 60,000 percent and this exponential growth is expected to continue.26
Analysis of year-over-year ePA volume through EHR systems by a large ePA vendor reveals that ePA requests are more likely to be started prospectively, with more than two prospective requests for everyone one retrospective request.27 This trend is expected to continue as more providers realize the benefits of the prospective ePA workflow and point of prescribing decision-support tools, like real-time benefit check (RTBC) become more widely available.
During just three months of simultaneous operation, ePA and RTBC solutions paired within EHR systems contributed to a near five percent increase in submission of prospective PA requests by providers.28
Analysis of turnaround times for PA requests reveal a 13.2-day acceleration in time to therapy when completed prospectively compared to retrospectively.29
Such success highlights the value of the prospective ePA workflow and can be used to promote provider adoption of ePA. Realizing this potential is largely dependent on vendors supporting retrospective, prospective and all-payer capabilities.
Electronic prior authorization integrations that incorporate these capabilities essentially eliminate the need for paper PA request forms. Integrations that are missing one or more of these capabilities will still require providers and their staff to use multiple methods for completing PA requests.
Is there a dedicated team of PA experts focused solely on assisting with PA?
Providers will have questions as they adopt an ePA solution, so it’s important that your vendor provides direct, user support. The support staff should be easily reachable by phone, email and chat and be subject matter experts on the ePA solution.
Electronic prior authorization, as with any new IT solution, does require a change in workflow; therefore, it’s important to support providers and their staff.