Managed Healthcare Executive September 5, 2024
Technology is advancing to allow the prior authorization process to operate behind the scenes through electronic systems that are integrated with health plan information.
Efforts are under way by health plans and technology providers, aided by new standards developed by the Centers for Medicare and Medicaid Services (CMS), to make the prior authorization (PA) of prescription drugs more seamless. Panelists during a session at the Pharmacy Benefit Management Institute’s Annual National Conference in Orlando discussed how technology is advancing to allow the prior authorization process to operate behind the scenes through electronic systems that are integrated with health plan information.
Eventually, the hope is that the systems set up to manage e-prescribing and prior authorization will be integrated with electronic...
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