How payers say they streamline prior authorizations

Using electronic processes is by far the most common way commercial health insurers said they streamline prior authorizations, according to a Nov. 14 America's Health Insurance Plans survey. 

The health insurer lobby and trade group conducted an industrywide survey on "prior authorization practices and gold carding experience of commercial plans" between February and April, according to the report. AHIP received responses from 26 plans, covering 122 million commercial enrollees.

Here are four ways payers said they streamline prior authorizations:

Use electronic prior authorizations

88 percent for medical services

75 percent for prescription medications 

Waive or reduce prior authorization/step therapy requirements for certain patients

25 percent for medical services 

46 percent for prescription medications 

Waive or reduce prior authorization requirements based on providers' participation in risk-based payment contracts

46 percent for medical services 

8 percent for prescription medications 

Gold carding 

58 percent for medical services 

21 percent for prescription medications 

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