icon representing impact data

02 ― Impact

As the needle moves toward all stakeholders adopting an ePA solution, it's important to quantify the burden associated with PA and the benefits of an electronic solution. Those who report using an electronic method on average spend 2.5 fewer hours on PA per week, enhancing interoperability and medication adherence.

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03 - Specialty

Patient Impact

Approximately 10 percent of prescription claims are rejected at the pharmacy, and, on average, 66 percent of those prescriptions require PA; furthermore, 36 percent of those prescriptions will be abandoned due to the complex paper-based process.1

This increases the risk of future health problems or hospitalization for the patient. The utilization of an electronic solution may increase patient medication adherence by helping to ensure the patient leaves the pharmacy with a prescription in hand.

66% of rejected prescriptions require PA...

...of those, 36% will be abandoned

Provider Impact

Prior authorization has an immense effect on health care professionals of all types. Dealing with PA requests consumes a large number of hours for physicians, nurses and their staff, negatively impacting workflow and time spent with patients.

Perceived Burden

There is a direct correlation between the perceived burden of PA and clinical responsibilities attached to the individual working on the request.2

A health care provider whose main focus should be on patient care and the prescribing of medication, perceives PA to be more of a burden than a PA specialist who has dedicated resources in assisting them with their workload.

Perceived Burden Data Representation

Burden by Submission Method

Fortunately, ePA can ease the burden for providers across the board. The burden of PA is significantly lower for providers exclusively using an electronic method for PA versus those using fax and phone, or a combination of fax, phone and electronic channels.2

Those who report using an electronic method to submit PA, on average spend 2.5 fewer hours on PA per week.

Perceived Burden Data Representation

As it stands, few providers exclusively use an ePA solution. Data indicates 76 percent of providers use more than one channel to complete PA requests.2

Use of phone and fax channels to complete PA requests result in delays to therapy and additional administrative waste. There is the opportunity today for providers to exclusively use an electronic channel through utilization of an all-payer, all-medication ePA web portal.

Positive Impact of ePA

Across the board, providers agree that ePA can increase speed to therapy, positively impact their organization and decrease the likelihood of prescription abandonment. Ninety-five percent of providers indicate they are likely to learn a new technology, such as ePA, if they agree with these benefits.2

  • ePA Increases Speed to Therapy
  • ePA Has a Positive Impact on Health Care
  • ePA Decreases Rx Abandonment
AGREE NEUTRAL DISAGREE 0% 10% 20% 30% 40% 50% 60% 70% 80% 90%

More providers are choosing ePA

"Having a centralized process for electronic prior authorization has been critical for us in order to get the medication authorized that we need for our patients."

― Jimmy Henry, M.D.

Key Takeaway

Key Takeaway

By leveraging ePA, providers greatly reduce paperwork, enable PA requests to be submitted in a secure environment and receive faster (often immediate) determinations. These benefits relieve the burden associated with the PA process, which is necessary to help ensure patients receive access to appropriate therapy.

Beyond the benefit to providers, health care professionals believe ePA will increase speed to therapy and decrease prescription abandonment, ensuring patients receive the medication they need to live healthy lives.