CoverMyMeds, the nation’s largest prior authorization (PA) platform, today announced the completion of an integration with Epic. The integration will allow Epic EHR users to access CoverMyMeds electronic prior authorizations (ePAs) in their EHR workflow, enabling PAs at the point of prescribing. More than 260,000 providers and medical staff—including many also using Epic—already complete PAs through CoverMyMeds. This integration will now allow users to access CoverMyMeds’ trusted PA functionality within Epic workflows.
Benefits of ePAs
Electronic prior authorization automates and expedites the PA process within the clinical workflow. ePA connects prescribers, pharmacies and insurance companies to facilitate the determination of medication benefits and ensure patients receive prescribed drugs. The adoption of ePA is particularly important due to the administrative strains that manual, paper-based PA processes have on prescribers and payers. The delays and confusion often result in patient prescription abandonment. According to a study by Frost & Sullivan, 40% of PAs are abandoned due to complex policies and procedures. As a result, many patients do not receive their originally prescribed medications.
CoverMyMeds provides the fastest, most efficient, and most complete solution for prescribers as a result of the following functionality:
– Supports ePA integrations with more plans and pharmacy benefits managers (PBMs) than any other vendor. This means a prescriber is more likely to get a real-time or same-day determination using CoverMyMeds than with any other vendor.
– CoverMyMeds is universally compatible with all health care plans and PBMs, and it is the only solution that offers this functionality. When using CoverMyMeds through Epic, prescribers can electronically complete PAs for all plans and all medications. CoverMyMeds works with the plan/PBM to deliver PAs in any format, whether that means electronically or via fax.
– Allows pharmacies to initiate the PA when one is not started prospectively (i.e., by the prescriber). CoverMyMeds then alerts the prescriber of the need to complete the PA.
– Offers PA functionality at no charge to prescribers and their staff.
CoverMyMeds used its National Council for Prescription Drug Programs (NCPDP) SCRIPT Standard-based API to facilitate the integration with Epic.