Allscripts, CoverMyMeds partner

Initiative aims to provide more prescriptions faster and electronically
By Bernie Monegain
10:53 AM

EHR vendor Allscripts and CoverMyMeds have partnered to help patients receive their prescriptions faster.

The partnership aims to increase the number of health plans available for Allscripts eAuth software clients.

Allscripts eAuth software enables providers to authorize prescriptions electronically instead of through phone calls or faxes, which can take days or weeks. Performing prior authorization electronically within EHR workflow helps improve efficiencies and reduce costs throughout the prior authorization process, say Allscripts executives.

As they see it, electronic prior authorization, or ePA, reduces the cost of authorizing medications prior to dispensation, a significant impact to the U.S. healthcare system. It also improves quality of care by allowing patients to obtain medications faster and reducing the risk that patients don't receive their prescriptions, they add. With an estimated 150 million prior authorizations completed in the U.S. annually, an electronic platform results in savings to providers, payers/pharmacy benefit managers and other healthcare stakeholders. The partnership, they point out, enables multi-payer connectivity and support for the pharmacy-initiated retrospective process.

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CoverMyMeds bills itself as the largest ePA platform in the country, providing connectivity that impacts as much as 72 percent of prescriptions in the U.S. today. It helps physicians, pharmacists and staff complete pre-authorization requests for any drug and all health insurance plans. With more than one million pre-authorization requests submitted each month, CoverMyMeds is the sole vendor using the NCPDP ePA standard at scale.

"We're honored that Allscripts chose CoverMyMeds to support its vision of a comprehensive ePA product," said Matt Scantland, co-founder of CoverMyMeds, in a news release announcing the deal. "The partnership is an important milestone for a healthcare system that is increasingly focused on reducing avoidable medical spending due to non-adherence."

"The more payers, pharmacy benefit managers and health plans we can connect our provider clients to, the more we can help them reduce the cost associated with prior authorizations  improving patient satisfaction and outcomes," added Faisal Mushtaq, Allscripts' president, payer & life sciences business. "This long-term partnership provides our clients the capability to transact with a large number of the covered lives in the U.S. for electronic prior authorizations."