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Optimizing Drug Prior Authorization Procedures For Primary Care, Lydia S. Vorsteveld
Optimizing Drug Prior Authorization Procedures For Primary Care, Lydia S. Vorsteveld
College of Nursing and Health Sciences Doctor of Nursing Practice (DNP) Project Publications
Title and Abstract
- 1. Title
Optimizing Drug Prior Authorization Procedures for Primary Care
- 2. Abstract
Background:
Medication prior authorization (MPA) is a cost containment strategy utilized by health plans. The payer, or health plan requires providers to obtain prior approval for plan coverage of a drug prescription. The list of drugs requiring MPA varies among health plans and is subject to frequent change. From 2007 to 2013 Medicare Part D increased MPA requirements by 38 percent (Hoadley, Summer, Hargrave, & Cubanski, 2014).
Methods:
Pre and post interventional surveys of primary care staff were used to gather descriptions of current MPA …