Abstract
[This is an excerpt.] Our organizations represent health care providers (physicians, pharmacists, medical groups, andhospitals) and health plans. We have partnered to identify opportunities to improve the prior authorization process, with the goals of promoting safe, timely, and affordable access to evidence-based care for patients; enhancing efficiency; and reducing administrative burdens. The prior authorization process can be burdensome for all involved—health care providers, healthplans, and patients. Yet, there is wide variation in medical practice and adherence to evidence-based treatment. Communication and collaboration can improve stakeholder understanding of the functions and challenges associated with prior authorization and lead to opportunities to improve the process, promote quality and affordable health care, and reduce unnecessary burdens. [To read more, click View Resource.]
This resource is found in our Actionable Strategies for Other Private Organizations: Private Payers
