Show notes
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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