AH017 - Pharmacy Benefits 101: Prior Authorization

In this episode of the Astonishing Healthcare podcast, we tackle one of the more polarizing issues in healthcare: prior authorization (PA for short). Sara Izadi, PharmD, Capital Rx's Chief Clinical Officer, Lorece Shaw, PharmD (Director of PA), and Product Manager Callie Burton-Callegari, join host Justin Venneri for a candid discussion about PA. They cover everything from basics like what a PA is, who decides the criteria, and common reasons for denials to why they are necessary and how technology - AI & ML - can help improve PA workflows.Last but not least, the team shares the most astonishing things they've seen around PAs, including a personal story!For related content, check out:Pharmacy Benefits 101: What is a Formulary?Are Your Prior Authorizations Actually Working?Capital Rx's JUDI® Redefines the Role Tech Plays in the Administration of Medicare, Medicaid, and Commercial Pharmacy Programs (highlighting our new PAT)For this episode's transcript and much more, please visit Capital Rx Insights.Thank you for listening!