The IDI

A Payer’s Perspective on Prior Authorization


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What do payers think about prior authorization? 

Dr. Andrew Hertler is Chief Medical Officer at Evolent Health. He recently co-authored an op-ed about prior authorization, touching on gold-carding, a controversial solution to addressing prior authorization challenges. 

Joining Hertler is regular guest John Hennessy, a Principal with Valuate. 

Topics include:

  • Why exceptions can sometimes be problematic.
  • What happens after a prior authorization is rejected.
  • Pathways: Who makes the decisions? How are they updated?
  • How should pharma  think about payers?
  • What can manufacturers and market access do to help pathways?

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The IDIBy Valuate Health Consultancy