As Practice Lead for PBM Services at Point-of-Care Partners, I recently had the pleasure of joining Andrew Mellin, M.D., Vice President and Chief Medical Information Officer at Surescripts, for a discussion guided by Jennifer Covich Bordenick, Chief Executive Officer of eHealth Initiative & Foundation. We shared our insights on realizing the power of patient benefit data delivered to the point of care. Now more than ever, it’s critical for our industry to have an understanding of this must-have technology, and to seize every opportunity to enhance the care experience for prescribers and their patients.
With complete and accurate eligibility, formulary and benefit data as the foundation, a range of downstream interactions are made possible. And tremendous value is created when we give prescribers the ability to conduct a real-time benefit check, an electronic prior authorization, or an automated and streamlined enrollment for specialty medication for patients who simply can’t afford to wait. Benefit information also extracts more value from e-prescribing, which when used with benefit information is associated with as much as a 20% increase in first-fill medication adherence.
As Dr. Mellin explained, “When we talked to prescribers, 83% of them said they think about this benefit data as they prescribe. Two-thirds of them said they will change their medication decision if there is a different option at a better preference level on the formulary. So, this is something prescribers think about, it’s essential for medication adherence, and it’s truly available for virtually every patient in the country.”
A 2019 survey of prescribers showed that benefit insights help them optimize prescriptions in several ways, and the vast majority would indeed consider changing a prescription.
Together, we’re improving quality and forging a deeper understanding of why it matters—not only for eligibility and formulary, but the downstream impact it has on every facet of healthcare, and most importantly, the patient. Accurate eligibility and formulary data helps ensure patient safety, improves time to therapy and enhances patient care and outcomes.