Report: Increase in ePA Use Across Healthcare Sectors | Healthcare Informatics Magazine | Health IT | Information Technology Skip to content Skip to navigation

Report: Increase in ePA Use Across Healthcare Sectors

October 26, 2015
by Rajiv Leventhal
| Reprints

Seventy percent of electronic health record (EHR) systems have adopted electronic prior authorization (ePA), according to new data released by Columbus, Ohio-based CoverMyMeds.

The ePA approach allows physicians and their staffs to request approval from pharmacy benefit managers (PBMs) and health plans inside their electronic health records.

In an update to the ePA National Adoption Scorecard, it was revealed that since March 2015, the industry achieved a 10-20 percent increase in commitment to ePA functionality across all sectors. Most notably, Cerner, Allscripts and eClinicalWorks announced ePA partnerships, and Epic and Practice Fusion launched live ePA functionality. Overall, the EHR segment achieved a 25 percent increase in live ePA functionality since March 2015.

What’s more, 87 percent of payers have adopted ePA, a 20 percent increase from March 2015; 83 percent of pharmacies are now committed to ePA, a 13 percent increase from March 2015; and 23 states have passed legislation pertaining to prior authorization, with four additional states— Missouri, New Jersey, Ohio and New York—having pending legislation.

“As a pharmacist and advocate for the industry, specifically an advocate for the patient, I have seen the frustration from all parties when a prescription is denied due to cumbersome policies and procedures related to prior authorization," Rebecca Snead, executive vice president and CEO of the National Alliance of State Pharmacy Associations (NASPA), which authored the foreword for this release of the report. "My involvement in the ePA National Adoption Scorecard represents my commitment to improving the PA process. My hope is that through education the industry will join us in moving toward 100 percent ePA adoption."

Get the latest information on Health IT and attend other valuable sessions at this two-day Summit providing healthcare leaders with educational content, insightful debate and dialogue on the future of healthcare and technology.

Learn More



Study will Leverage Connecticut HIE to Help Prevent Suicides

A new study will aim to leverage CTHealthLink, a physician-led health information exchange (HIE) in Connecticut, to help identify the factors leading to suicide and to ultimately help prevent those deaths.

Duke Health First to Achieve HIMSS Stage 7 Rating in Analytics

North Carolina-based Duke Health has become the first U.S. healthcare institution to be awarded the highest honor for analytic capabilities by HIMSS Analytics.

NIH Releases First Dataset from Adolescent Brain Development Study

The National Institutes of Health (NIH) announced the release of the first dataset from the Adolescent Brain Cognitive Development (ABCD) study, which will enable scientists to conduct research on the many factors that influence brain, cognitive, social, and emotional development.

Boston Children's Accelerates Data-Driven Approach to Clinical Research

In an effort to bring a more data-driven approach to clinical research, Boston Children’s Hospital has joined the TriNetX global health research network.

Paper Records, Films Most Common Type of Healthcare Data Breach, Study Finds

Despite the high level of hospital adoption of electronic health records and federal incentives to do so, paper and films were the most frequent location of breached data in hospitals, according to a recent study.

AHA Appoints Senior Advisor for Cybersecurity and Risk

The American Hospital Association (AHA) has announced that John Riggi has joined the association as senior advisor for cybersecurity and risk.