Health system reimbursement for provider-administered medications is at risk. Many health systems are already writing off substantial medication-related revenue because of ineffective management of medication prior authorizations and denials.
Two current trends further elevate the potential for significant financial losses on provider-administered medications. First, payers are increasing restrictions on which patients and drugs can be infused in hospital-based infusion settings. Second, rising drug prices and a growing pipeline of high-cost specialty medications mean the impact of each medication denial is increasingly expensive.
To mitigate both present and imminent financial challenges from medication-related denials, health system finance and pharmacy leaders must partner together to strengthen pharmacy revenue cycle processes.
Create your free account to access 1 resource, including the latest research and webinars.
You have 1 free members-only resource remaining this month.
1 free members-only resources remaining
1 free members-only resources remaining
You've reached your limit of free insights
Never miss out on the latest innovative health care content tailored to you.
You've reached your limit of free insights
Never miss out on the latest innovative health care content tailored to you.
This content is available through your Curated Research partnership with Advisory Board. Click on ‘view this resource’ to read the full piece
Email ask@advisory.com to learn more
Never miss out on the latest innovative health care content tailored to you.
This is for members only. Learn more.
Never miss out on the latest innovative health care content tailored to you.