Prior Authorization for Antidepressants in Medicaid
نویسندگان
چکیده
منابع مشابه
Medicaid prior authorization policies and imprisonment among patients with schizophrenia.
OBJECTIVE To examine the impact of Medicaid prior authorization for atypical antipsychotics on the prevalence of schizophrenia among the prison population. Study DESIGN We collected drug-level information on prior authorization restrictions from Medicaid programs in 30 states to determine which states had prior authorization requirements before 2004. We linked the regulatory data to a survey ...
متن کاملAnalysis of a prescription drug prior authorization program in a Medicaid health maintenance organization.
OBJECTIVE To determine the factors important in approving prescription reimbursement under prior authorization (PA) in a Medicaid managed care organization (MCO). METHODS A cross-sectional statistical analysis was performed using administrative data for one month of PA requests to an MCO with more than 250,000 Medicaid recipients in the northeast United States. RESULTS More than 95% of PA r...
متن کاملEffect of a prior-authorization requirement on the use of nonsteroidal antiinflammatory drugs by Medicaid patients.
BACKGROUND Prior authorization--mandatory advance approval for the use of expensive medications--is now the primary method by which Medicaid programs control expenditures for drugs. However, whether this policy reduces expenditures for specific drugs without causing the unwanted substitution of other drugs or medical services has been largely unstudied. We evaluated the effects of a prior-autho...
متن کاملTransforming Prior Authorization to Decision Support.
PURPOSE To evaluate a computer-based prior authorization system that was designed to include and test two new concepts for physician review: (1) the tool would minimize denials by providing real-time decision support with alternative options if the original request was noncompliant, and (2) the tool would collect sufficient information to create a patient registry. METHODS A new prior authori...
متن کاملA physician-friendly alternative to prior authorization for prescription drugs.
OBJECTIVE To determine if the instant approval (IA) process differs from the traditional prior authorization (PA) process in preferred drug channeling, resultant gaps in therapy, and provider dissatisfaction. STUDY DESIGN An interrupted time series analysis using pharmacy claims and a retrospective cohort study. METHODS The study assessed changes in preferred drug use and subsequent cost re...
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ژورنال
عنوان ژورنال: Archives of Internal Medicine
سال: 2009
ISSN: 0003-9926
DOI: 10.1001/archinternmed.2009.39