As a result, all Part D plans will need to comply with this rule starting January 1, 2022, or risk CMS enforcement. Fortunately, Surescripts Electronic Prior Authorization tool can help Part D plans to become compliant. Surescripts Electronic Prior Authorization integrates with electronic health records software, enabling healthcare professionals to quickly obtain prior authorizations for prescriptions in real-time at the point of care while eliminating time-consuming paper forms, faxes and phone calls. When this prospective workflow is used, medication pickup rates at integrated pharmacies improve by six percentage points.
By allowing rapid prior authorization approvals while patients are in the office, healthcare providers have more time for meaningful patient engagement. For patients, approvals in the office mean surprises and delays at the pharmacy are eliminated.
For all of these reasons, Surescripts applauds CMS’s commitment to streamlining the prior authorization process and putting patients over paperwork. Learn more about how Surescripts Electronic Prior Authorization helps health insurance providers, EHR software vendors and prescribers work together to improve patient care.