Standard Authorization Form for Non-Formulary Drugs
Ignagni: 'This Effort Demonstrates What Our Community Can Do
Collaboratively to Streamline Administrative Processes'
WASHINGTON, April 11 /PRNewswire/ -- In a joint effort to simplify
administration of the new Medicare prescription drug program, America's
Health Insurance Plans (AHIP), today announce that it has collaborated with
the American Medical Association (AMA) and other allies to develop a
standardized form that physicians can use to request prior authorization
and coverage for non-formulary drugs.
(Logo: http://www.newscom.com/cgi-bin/prnh/20040830/AHIPLOGO )
AHIP President and CEO Karen Ignagni made the following comments:
"In mid-January, our members directed AHIP to establish several
advisory councils to reach out to beneficiary groups, pharmacy
organizations and physicians with the goal of working collaboratively to
simplify administrative processes in the Medicare prescription drug program
and, where possible, create uniform administrative procedures.
"With today's announcement of a common form that physicians can use to
request an exception and coverage for non-formulary drugs, we are unveiling
the first product of the advisory councils' fast-track process for
simplification. AHIP and its members have worked in tandem with a special
committee established by the AMA to quickly and effectively work through
the issues surrounding exceptions and appeals.
"This effort demonstrates what our community can do collaboratively to
streamline administrative processes. It is the first in a series of
simplification efforts designed to ensure that the Medicare prescription
drug program works even more effectively for beneficiaries, physicians and
pharmacists."
AHIP and the AMA have transmitted the new form to the Centers for
Medicare and Medicaid Services (CMS). Many health insurance plans are
expected to begin incorporating this new form immediately. It can be found
at http://www.ahip.org or http://www.cms.gov.
America's Health Insurance Plans -- Providing Health Benefits
to More Than 200 Million Americans
SOURCE America's Health Insurance Plans
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Related links:
http://www.ahip.org
Photo Notes:http://www.newscom.com/cgi-bin/prnh/20040830/AHIPLOGO
AP Archive: http://photoarchive.ap.org PRN Photo Desk
photodesk@prnewswire.com
CONTACT:
Mohit Ghose of America's Health Insurance
Plans, +1-202-778-8494
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