Session ID: 
156

Leveraging Technology to Improve Prior Authorization

2:30pm - 3:30pm Wednesday, February 13
Orlando - Orange County Convention Center
W204A

Description

As payers continue to expand the number of prescription drugs and medical services subject to prior authorization (PA), the PA process is becoming a more significant and time-consuming problem for physicians, their staff, and patients. According to the 2017 American Medical Association Prior Authorization Physician Survey, PA can lead to care delays, have a negative impact on patient clinical outcomes, and lead to treatment abandonment. Technology has the potential to play a pivotal role in streamlining and automating the PA process and ensuring patients receive timely care, but even with these workflow improvements, additional challenges will remain. This session will describe and quantify the growing PA problem using survey statistics, review the currently available technologies for both prescription and medical services PA, discuss challenges to adoption, and discuss how grassroots web tools and social media can be effectively leveraged to address PA policy issue.

Learning Objectives: 

  • Recognize how prior authorization negatively impacts patients and health care professionals using available survey findings and other data
  • Analyze the current status of electronic prior authorization (ePA) adoption for prescription medications, identify current impediments to adoption and propose solutions to overcome these barriers
  • Describe the challenges that must be addressed to achieve widespread adoption of standardized, automated, prior authorization for medical services
  • Outline how effective utilization of social media and grassroots web technologies can drive important prior authorization policy changes that will benefit health care professionals, patients, and payers

Speaker(s): 

Director,
American Medical Association
Senior Policy Analyst,
American Medical Association

Audience: 

Allied Health Professional
Healthcare Financial Professionals
Physician, CMO, CMIO

Level: 

Introductory