Impact of implementing electronic prior authorization on medication filling in an electronic health record system in a large healthcare system.

ABSTRACT:

Objective

Medications frequently require prior authorization from payers before filling is authorized. Obtaining prior authorization can create delays in filling prescriptions and ultimately reduce patient adherence to medication. Electronic prior authorization (ePA), embedded in the electronic health record (EHR), could remove some barriers but has not been rigorously evaluated. We sought to evaluate the impact of implementing an ePA system on prescription filling.

Materials and methods

ePA was implemented in 2 phases in September and November 2018 in a large US healthcare system. This staggered implementation enabled the later-implementing sites to be controls. Using EHR data from all prescriptions written and linked information on whether prescriptions were filled at phar

SUBMITTER: Lauffenburger JC 

PROVIDER: S-EPMC8449617 | biostudies-literature | 2021 Sep

REPOSITORIES: biostudies-literature