Payers, Providers and PBMs: Embrace Data Liquidity to Improve Medication Adherence

Sharing real-time patient benefit and eligibility information with providers at the point of prescribing improves medication access and, ultimately, patient outcomes.

To help patients access their prescribed medications during office closures due to the pandemic, many health plans relaxed or waived medication regulations, such as prior authorization (PA) and refill-too-soon orders.

Despite this temporary relief, many patients still experienced delays getting their prescriptions filled.

Solutions such as real-time prescription benefit (RTPB), electronic prior authorization (ePA) and intelligent pharmacy workflows can help reduce administrative and benefit barriers contributing to these delays – and improve medication adherence along the way.

RTPB technology enables providers, pharmacies, and payers to quickly exchange patient benefit coverage and out-of-pocket cost information. Relevant data can be surfaced within a single healthcare workflow that provides accurate data right from the source and can help more patients access their medications.

When providers used an RTPB solution, patients were 19 percent more adherent to picking up their medications.1