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



Dignity Health, UCSF Health Partner to Improve the Digital Patient Experience

Dignity Health and UCSF Health are collaborating to develop a digital engagement platform that officials believe will provide information and access to patients when and where they need it as they navigate primary and preventive care, as well as more acute or specialty care.

Report: Digital Health VC Funding Surges to Record $4.9 Billion in 2018

Global venture capital funding for digital health companies in the first half of 2018 was 22 percent higher year-over-year (YoY) with a record $4.9 billion raised in 383 deals compared to the $4 billion in 359 deals in the same time period last year, according to Mercom Capital Group’s latest report.

ONC Roundup: Senior Leadership Changes Spark Questions

The Office of the National Coordinator for Health IT (ONC) has continued to experience changes within its upper leadership, leading some folks to again ponder what the health IT agency’s role will be moving forward.

Media Report: Walmart Hires Former Humana Executive to Run Health Unit

Reigniting speculation that Walmart and insurer Humana are exploring ways to forge a closer partnership, Walmart Inc. has hired a Humana veteran to run its health care business, according to a report from Bloomberg.

Value-Based Care Shift Has Halted, Study Finds

A new study of 451 physicians and health plan executives suggests that progress toward value-based care has stalled. In fact, it may have even taken a step backward over the past year, the research revealed.

Study: EHRs Tied with Lower Hospital Mortality, But Only After Systems Have Matured

Over the past decade, there has been significant national investment in electronic health record (EHR) systems at U.S. hospitals, which was expected to result in improved quality and efficiency of care. However, evidence linking EHR adoption to better care is mixed, according to medical researchers.