2018 Virtual Symposium: Mastering the Prior Authorization Process to Meet Patient Needs

The prior authorization (PA) process is often resource-intensive for medical practices. A 2016 American Medical Association (AMA) survey of physicians who regularly complete PAs found that, in combination with their staff members, the providers spent an average of 16.4 hours per week processing PAs. While estimates of the per-physician financial burden of PA and interaction with insurance companies have varied widely, all have found that those costs amount to thousands of dollars per year. The goal of this virtual symposium is to provide learners with real-life solutions and resources for streamlining the PA process in their practices, with the goal of reducing the associated burdens on healthcare providers, minimizing related stress for patients and preserving time for direct patient care.

Prior to this educational activity, an infographic overview outlining recommendations and resources for streamlining the PA process in clinical practice was provided to learners at the 13th Annual CMHC Meeting. As part of the infographic review, learners were also able to submit particularly challenging patient cases associated with PA, or common challenges endured during the PA process. The infographic primer will be briefly reviewed, and the cases will be addressed by the expert faculty during this virtual symposium. An advocate for the Doctor-Patients Rights Project will also share their mission and provide a challenging experience encountered during the PA process.

Infographic Primer Review and Interactive Patient Case Consults: Tips and Strategies to Obtain PA (Case 1)

Presenter: Pamela B. Morris, MD

Interactive Patient Case Consults: Tips and Strategies to Obtain PA (Case 2)

Presenter: Kim K. Birtcher, PharmD

Interactive Patient Case Consults: Tips and Strategies to Obtain PA (Case 3)

Presenter: Christie M. Ballantyne, MD

Doctor-Patient Rights Project: Patient Advocate Presentation

Presenter: Matthew D. Stryker, PharmD, BCACP, CLS

Audience Q&A

Panel: Pamela B. Morris, MDChristie M. Ballantyne, MDKim K. Birtcher, PharmDMatthew D. Stryker, PharmD, BCACP, CLS