Physicians complete an average of 37 prior authorizations per week, spending the equivalent of two business days (16 hours)* on administrative hassles to receive approvals from health insurance companies and pharmacy benefit managers (PBMs). If an insurance plan covers a treatment that would benefit your patient, you shouldn’t have to waste time ensuring access to it.
How does prior authorization (PA) come between your patients and the care they need?
The process is inefficient.Dark-Orange
The process undermines your decisions.
Physicians lack insight on the criteria used to make coverage decisions, so they rarely know what services need prior authorization at the point-of-care and only find out later when a patient’s access is denied. This causes tension between you and your patients, even though the fault lies in a system that questions your medical decisions.Orange
Your patients’ health suffers because of the process.
Ninety percent of physicians say prior authorization sometimes, often, or always delays access to care.* Meaning, your patients’ illnesses go untreated for longer because of an opaque process. Prior authorization is more than an administrative nightmare; it’s a barrier to providing timely, patient-centered care.
Research shows 40% of prescriptions requiring prior authorization are abandoned.**Light-Orange
Raise your voice.
How does prior authorization affect your practice and put up barriers to care for your patients? Share your experience with us.Sources:Blue