Regional Disparities in Qualified Health Plans’ Prior Authorization Requirements for HIV Pre-exposure Prophylaxis in the United States
Sign Up to like & getrecommendations! Published in 2020 at "JAMA Network Open"
DOI: 10.1001/jamanetworkopen.2020.7445
Abstract: This cross-sectional study investigates whether there are regional disparities in prior authorization requirements for combined tenofovir disoproxil fumarate and emtricitabine with qualified health plans and assesses if any qualified health plan characteristics explain the disparities. read more here.
Keywords: qualified health; prior authorization; health plans; authorization requirements ... See more keywords
Oncology Trainee Perceptions of the Prior Authorization Process: A National Survey
Sign Up to like & getrecommendations! Published in 2022 at "Advances in Radiation Oncology"
DOI: 10.1016/j.adro.2021.100861
Abstract: Purpose The medical trainee perspective regarding the prior authorization process has not been previously assessed. Here we evaluate the perceptions of radiation and medical oncology trainees regarding the prior authorization process and its effect on… read more here.
Keywords: oncology; survey; authorization process; prior authorization ... See more keywords
Implementation and impact assessment of integrated electronic prior authorization in an academic health system.
Sign Up to like & getrecommendations! Published in 2020 at "Journal of the American Pharmacists Association : JAPhA"
DOI: 10.1016/j.japh.2020.01.012
Abstract: OBJECTIVE To describe the system-wide implementation of integrated electronic prior authorization (ePA) and its impact within a centralized prior authorization (PA) department in an academic health system. SETTING Prescription drugs have been among the fastest… read more here.
Keywords: system; prior authorization; implementation; time ... See more keywords
Implementation and Evaluation of a Prior Authorization Workflow for New-Start Inpatient Medications in Preparation for Discharge
Sign Up to like & getrecommendations! Published in 2022 at "Hospital Pharmacy"
DOI: 10.1177/00185787221127610
Abstract: Purpose: Medications that require prior authorization can complicate the discharge planning process. This study implemented and evaluated a process for identifying and completing prior authorizations during the inpatient setting prior to patient discharge. Methods: A… read more here.
Keywords: tool; discharge; authorization; process ... See more keywords
A Description of Outcomes Experienced by Patients Whose Orders for Peripheral Artery Revascularization Were Reviewed by a Nondenial Prior Authorization Program
Sign Up to like & getrecommendations! Published in 2022 at "Vascular and Endovascular Surgery"
DOI: 10.1177/15385744211055911
Abstract: Objective After a nondenial prior authorization program evaluates orders for peripheral artery revascularization (PAR), ordering physicians sometimes withdraw their orders based upon program recommendations. Some patients with withdrawn orders receive PAR if claudication does not… read more here.
Keywords: nondenial prior; par; authorization program; orders peripheral ... See more keywords
Determining Prior Authorization Approval for Lumbar Stenosis Surgery With Machine Learning.
Sign Up to like & getrecommendations! Published in 2023 at "Global spine journal"
DOI: 10.1177/21925682231155844
Abstract: STUDY DESIGN Medical vignettes. OBJECTIVES Lumbar spinal stenosis (LSS) is a degenerative condition with a high prevalence in the elderly population, that is associated with a significant economic burden and often requires spinal surgery. Prior… read more here.
Keywords: surgery; authorization approval; machine learning; prior authorization ... See more keywords
Collaboration with commercial payor to eliminate prior authorization.
Sign Up to like & getrecommendations! Published in 2019 at "Journal of Clinical Oncology"
DOI: 10.1200/jco.2019.37.27_suppl.9
Abstract: 9 Background: For commercial insurance plans, there is often a requirement to obtain prior-authorization for specific services. Prior-authorization though intended to ensure medical necessity, can cause significant delays in patient care and create an unnecessary… read more here.
Keywords: prior authorizations; prior authorization; provider; eliminate prior ... See more keywords
Prior authorization process improvement for pain medications in an oncology unit: Timely initiation of test claim request form.
Sign Up to like & getrecommendations! Published in 2020 at "Journal of Clinical Oncology"
DOI: 10.1200/jco.2020.38.15_suppl.7050
Abstract: 7050Background: Oncology patients with extensive metastatic disease and advanced-stage cancer frequently require controlled medications for pain managements. Insurers require Prior Authorization (P... read more here.
Keywords: prior authorization; improvement pain; process improvement; oncology ... See more keywords
Delays Related to Prior Authorization in Inflammatory Bowel Disease.
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DOI: 10.1542/peds.2021-052501
Abstract: BACKGROUND Delays in advancing to biologic therapies are associated with adverse outcomes in inflammatory bowel disease (IBD). Insurer-mandated prior authorizations have been linked to prolonged medication initiation times. We hypothesized that prior authorizations are associated… read more here.
Keywords: initiation time; healthcare utilization; authorization; biologic initiation ... See more keywords
AMCP Partnership Forum: Optimizing Prior Authorization for Appropriate Medication Selection.
Sign Up to like & getrecommendations! Published in 2020 at "Journal of managed care & specialty pharmacy"
DOI: 10.18553/jmcp.2020.26.1.55
Abstract: Prior authorization (PA) and step therapy (ST) are utilization management tools that have been in use by managed care organizations for decades. These processes require that health care providers obtain advanced approval to qualify a… read more here.
Keywords: health care; prior authorization; health; care ... See more keywords