Improving Medication Access with Better Prior Authorization

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Improving Medication Access with Better Prior Authorization

By Lucy He and Christine Keung

Prior authorization (PA) refers to the process of getting an insurer’s approval before a physician provides a treatment, and can dangerously delay access to medication and care. Real-time benefit tools (RTBTs), a software product physicians consult before finalizing a prescription, can decrease the burden of PAs or help physicians avoid them altogether. This policy brief proposes that the the New York State Department of Health (DOH) adopt a statewide standard to make RTBTs more usable and reliable and therefore decrease the burden of PAs.

This brief was completed as part of a project for the 2021 Aspen Tech Policy Hub Fellowship, a program to teach technology experts how to impact policy.

See the Project