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Using Mobile Health Technology to Simplify Medication Authorization

Using Mobile Health Technology to Simplify Medication Authorization

With the steep rise in specialty drug prices in the recent years, the use of prior authorization as a mechanism to reduce cMedication authorization.osts has also grown. The extra step of approval is often employed by insurance companies, pharmacy benefits managers (PBMs) or third-party administrators (TBAs) as a means to manage use of other drugs as well.

Cost of specialty drugs

The need to carefully manage the use of specialty drugs is obvious. A year of treatment for some chronic conditions using specialty drugs can exceed $100,000, according to the Pew Charitable Trusts. In 2015, specialty drug spending accounted for 38 percent of the total drug expenditures.

Disadvantages of traditional prior authorization

The traditional processes for prior authorizations, however, put a bureaucratic burden on health care providers and patients that costs time and money. The delay in authorization can have immediate impacts on patient health as well.

According to the American Medical Association’s Prior Authorization and Utilization Management Reform Principles, the use of electronic prior authorization transactions can save time and resources over current methods:

Utilization management programs, such as prior authorization and step therapy, can create significant barriers for patients by delaying the start or continuation of necessary treatment and negatively affecting patient health outcomes. The very manual, time-consuming processes used in these programs burden providers (physician practices, pharmacies and hospitals) and divert valuable resources away from direct patient care.

E-prior authorization advantages

RxEOB is addressing the problem of prior authorization requirements through development of its AutoAuthRX™ e-prior authorization app. The application offers advantages including:

Offering pharmacy benefit analytics, portals, mobile applications and reporting, RxEOB’s products help health plans and PBMs engage patients for better pharmacy utilization and adherence. For more information, visit www.rxeob.com, or call 804-643-1540.