Manual prior authorization processes between providers, payers and pharmacies can create significant delays and frustration for all parties involved. Providers may switch therapies to avoid the time-consuming prior authorization process, while pharmacists often need to contact providers for additional information. Patients often experience delays and may abandon treatment plans due to these inefficiencies.
of patients experience delays[0]CoverMyMeds 2023 Patient Survey
66% of patients surveyed said they were delayed at least 24 hours in getting their medications.
of providers[0]American Medical Association, 2021 AMA prior authorization physician survey, Jan 2022
Behind the full power of a connected network, CoverMyMeds' electronic prior authorization solutions can break down barriers through direct payer connections and in-workflow support for providers and pharmacies. This can help minimize therapy switching or medication abandonment for a smoother patient experience.
Appeal requests submitted using CoverMyMeds’ technology were approved on average.[0]HubExpress Program data, May 2023
Faster time to therapy for patients notified of approved requests, on average.[0]CoverMyMeds PA Notify data for approved prior authorizations, 2023
Average increase in paid claims at pharmacies using CoverMyMeds’ IntelligentPA solution.[0]CoverMyMeds analysis of pharmacies using an IntelligentPA-enabled system vendor vs. the EasyButton solution, Jan 2016–Jan 2019
CoverMyMeds-facilitated prior authorization renewals in 2023.[0]CoverMyMeds Prior Authorization Data, 2023