Post by Co-pay – Powered by Doceree

A faster wall is still a wall. Electronic prior authorization, run as a point solution, removes phone calls. The fax disappears. The form gets pre-populated. The decision lands hours instead of weeks after submission. None of that is small. All of it is a meaningful improvement on the PA experience. What it does not remove is the next three walls on the way to a fill. The copay program tied to the drug still lives in a different system. Your care team still has to find it, confirm eligibility for this patient, and trigger an activation that the PA workflow doesn't know about. The enrollment for the program still requires a separate transaction — a portal, a phone call to a hub, a form that gets routed somewhere. The fill confirmation, when it eventually closes, surfaces in pharmacy data that your team has to reconcile back to the prescription manually. Four walls. One faster. Three unchanged. The PA stopped being the slow point in the chain, which exposes the rest of the chain as the new slow point. For an operations leader, this is recognizable. The PA team's metrics look better than they did a year ago. The callback volume from patients about cost did not decrease in proportion. The abandonment rate on specialty prescriptions did not move the way the PA acceleration suggested it would. Something between the cleared PA and the picked-up bottle is absorbing the time the ePA gave back. That something is the unconnected nature of the rest of the workflow. A connected ePA — one that sits inside a workflow which also surfaces the affordability program, activates it against the same record, completes enrollment in the visit, and confirms the fill back to the prescribing event — is the version that actually clears the wall instead of just speeding through one panel of it. Close the gap inside your EHR. Zero cost to your team. Live in three weeks → https://bit.ly/4v94iY0 #PatientAccess #HealthSystem #PriorAuth #ePA #ClinicalOperations #EHRWorkflow #CareCoordination