Prior Authorization (PA) is a crucial healthcare protocol used by insurers to ensure prescribed treatments are necessary and within coverage guidelines. PA helps prevent unnecessary procedures, improving patient outcomes and reducing costs. However, it presents significant challenges, consuming time and potentially delaying care. The Prior Authorization Certified Specialist (PACS) program addresses these issues, enhancing skills and knowledge within medical affairs to streamline the process and improve patient care.
Tag Archives: #PatientAccess
PBM Reform and Prior Authorization: What’s Next?
Discover the crucial role Pharmacy Benefit Managers (PBMs) play in drug pricing and accessibility. Uncover the counterintuitive fee structure and explore proposed reforms to improve transparency, reduce delays, and lower costs.
Understanding the Role of the PBM
Discover the pivotal role of Pharmacy Benefit Managers (PBMs) as intermediaries between patients, pharmacies, and insurance companies in the prescription drug process.
