Gold Card Prior Authorization is a healthcare program that streamlines the prior authorization process for some of the most commonly prescribed medications. It can help your practice or facility improve patient care, increase efficiency and enhance relationships with payers in just minutes per patient visit. Here’s how it works:
Gold Card Prior Authorization (PA) programs are designed.
Gold Card programs are designed for patients with complex prescriptions, such as those who take multiple medications. Gold Card programs are a high-touch, high-volume program where pharmacists review each patient’s health history and current prescription plan in order to determine if they or any of their prescribers should be in an enhanced program. Pharmacists can use Gold Card to seek reimbursement for providing these services at the point of sale (POS), which is when most people pay for their prescriptions. While many pharmacies participate in this type of program, only a few are selected by insurance companies as national providers. An easy-to-understand, easy-to-navigate process that requires less paperwork that is available to be submitted electronically.
It is flexible enough to accommodate every plan’s unique requirements.
As any good PA program will tell you, flexibility is key to the success of a PAP. Because of this, it’s important for a program to be able to accommodate all payers, regardless of their requirements. This means that if one payer requires prior authorization (PA) for a drug and another does not, providers can still use their program and get reimbursed by the first payer without having to manually submit more paperwork to the second.
Gold Card Prior Authorization programs
PA can improve care, increase efficiency and enhance relationships between payers and providers. If you’re a healthcare provider, you know how frustrating it can be when a patient’s insurance company won’t approve treatment. In addition, if your goal is to improve the delivery of care, increase efficiency and enhance relationships between payers and providers, what could be better?
Some patients may feel that their doctors are not communicating well with them. But there’s a solution: Gold Cards. Gold Cards help ensure that patients receive the right treatment at the right time, and also help ensure that patients receive only medically necessary services. This has been shown to improve patient satisfaction significantly. According to one study by The Advisory Board Company, 93% of patients said they were satisfied with their doctor’s communication style; however, only 83% said they were satisfied with their doctor’s ability to manage their care so far this year (2017). By improving communication between doctors and insurers many issues can be resolved before they become problems for patients or providers (and costs for payers).
Conclusion
In conclusion, Gold Card PA programs can improve care, increase efficiency and enhance relationships between payers and providers. If you are looking for a new job or trying to improve your current position, consider applying for PA work at a Healthcare organization. To learn more, please read our other blog on this topic of PreAuthorizations.
