Proceedings of the AMCP Partnership Forum: NCPDP Electronic Prior Authorization Standards Building-a Managed Care Implementation Plan

被引:0
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作者
Ayele, Elias [1 ]
Bojorquez, Morgan [2 ]
Brown, Melissa [3 ]
Fidler, David [4 ]
Fu, Jacques [5 ]
Greenberg, Peggy [6 ]
Hazelwood, Maylisa [7 ]
Kumar, Manoj [8 ]
Leggett, Christopher [9 ]
Lindoo, Jeff [10 ]
Murcko, Anita C. [11 ]
Orenstein, Allison [12 ]
Penn, Mike [13 ]
Pinsonneault, Roger [14 ]
Plut, Edward [15 ]
Reinardy, Joe [16 ]
Sawicki, Cameron [17 ]
Scaglione, David [18 ]
Scantland, Matt [19 ]
Schneider, Shari [20 ]
Schueth, Tony [21 ]
Swarna [22 ]
Taylor, Jeff [23 ]
Topor, Laura [24 ]
Bruns, Kevin
Carden, Maryjo
Eichelberger, Bernadette
Oh, Susan
Rosato, Edith
Sega, Todd
Singh, Puneet
Singh, Ruby
机构
[1] Epic, Res & Dev, London, England
[2] Humana, Pharm Clin Integrat, New York, NY USA
[3] Point Care Messaging, Surescripts, Prod Management, Benefits, San Francisco, CA USA
[4] ESI, New York, NY USA
[5] AssistRx, Orlando, FL USA
[6] Peggy Greenberg Consulting & Training, Boston, MA USA
[7] Blue Cross & Blue Shield Massachusetts, Pharm Operat, Boston, MA USA
[8] Catamaran, Clin Prod, London, England
[9] GlaxoSmithKline, US Publ Policy, Hlth IT & Care Delivery, Brentford, England
[10] Thrifty White Pharm, Govt & Regulatory Affairs, Plymouth, MN USA
[11] Arizona State Univ, Dept Biomed Informat, Tempe, AZ 85287 USA
[12] CVS Caremark, Woonsocket, RI USA
[13] Pfizer Inc, New York, NY USA
[14] RelayHealth, Business Dev, London, England
[15] Allscripts, Payer & Life Sci, Prod Management, Chicago, IL USA
[16] CenterX, Madison, WI USA
[17] Genentech Inc, San Francisco, CA USA
[18] Prime Therapeutics, Phys Connect, Dallas, TX USA
[19] CoverMyMeds, London, England
[20] Walgreens, Third Party Operat, Deerfield, IL USA
[21] Point Care Partners, Stevens Point, WI USA
[22] Agadia Syst, Parsippany, NJ USA
[23] Aetna, Hartford, CT USA
[24] Granada Hlth, Granada, Spain
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关键词
PHYSICIAN PRACTICES;
D O I
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中图分类号
R19 [保健组织与事业(卫生事业管理)];
学科分类号
摘要
Todays manual prior authorization (PA) process is often viewed by providers, payers, pharmacists, and patients as cumbersome, costly, and inefficient. The recent approval by the National Council for Prescription Dug Programs of a standard transaction for electronic prior authorization (e-PA) has paved the way for more rapid and efficient processing of PA requests. On April 23, 2014, the Academy of Managed Care Pharmacy (AMCP) convened a meeting of key stakeholders to explore how to support the process of implementing the new standard transactions for e-PA and to recommend activities and programs that AMCP can promote to speed the adoption of e-PA This Partnership Forum included individuals from managed care organizations, the pharmaceutical industry, pharmacy benefit managers, electronic prescription hubs or networks, and health information technology vendors. The speakers and panelists recommended that AMCP should develop measurable goals for staged and full implementation of e-PA To accomplish this, it was recommended that AMCP work to collaborate with organizations representing these stakeholders. Additionally, it was recommended that AMCP develop managed care e-PA implementation and e-PA criteria guides, as well as an e-PA scorecard. Copyright (C) 2015, Academy of Managed Care Pharmacy. All rights reserved.
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页码:545 / 550
页数:6
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