Fast PATH Initiative
Health insurance providers consistently seek ways to enhance the patient and provider experience. In January 2020, AHIP launched a new initiative called the Fast Prior Authorization Technology Highway (Fast PATH) better understand the impact of electronic prior authorization (ePA) on the prior authorization process. This initiative builds on key priorities for improvement identified in the Consensus Statement.
Six health insurance providers that collectively cover over 50 million Americans participated in the project, with Availity and Surescripts serving as the technology partners and Point of Care Partners serving as an expert advisor. RTI International conducted an independent analysis of the project, looking at prior authorization transaction data both before and after implementation of ePA processes and surveying providers on their experiences using ePA technology.
Fast PATH Key Findings
Faster Time to Patient Care
71% of providers who used the technology for most or all of their patients (referred to as experienced users) reported that patients received care faster after providers implemented electronic prior authorization
Faster Time to Decision
Median time between submitting a prior authorization request and receiving a decision from the health plan was more than three times faster, falling from 18.7 hours to 5.7 hours – a reduction of 69%.
Lower Provider Burden From Phone Calls and Faxes
Among experienced users, a majority of providers experienced less burden related to phone calls and faxes after implementation of electronic prior authorization:
- 54% of experienced users reported fewer phone calls and 58% reported fewer faxes after implementation of electronic prior authorization
- 62% of experienced users reported less time spent on phone calls and 63% reported less time spent on faxes after implementation of electronic prior authorization
Improved Information for Providers
60% of experienced users said electronic prior authorization made it easier to understand if prior authorization was required
Greatest Benefits for Experienced Users
The more frequently a provider used the technology solution, the bigger the benefit the provider experienced in reduced burden and ease of understanding prior authorization information.
Fast PATH Lessons Learned
Based on the findings that providers who are high users of the electronic prior authorization technology experience the greatest benefit, it is clear that to maximize the efficiencies of electronic prior authorization, strong provider adoption of the technology solution is critical.
To further realize the benefits of prior authorization, stakeholders should explore available pathways to increase provider adoption of ePA technology. These pathways could include a combination of: (1) increasing the availability of the technology to providers; and (2) increasing the use of the technology where it is already available by identifying and addressing challenges, such as provider readiness and training, workflow integration, and incentives for providers to use the technology.
- Prior Authorization Toolkit (AHIP members only)
- Fast PATH Initiative Presentation
- Fast PATH Initiative Evaluation
- Fast PATH Infographic
- Fast PATH FAQ
- Fast PATH Summary (two-pager)
- AHIP Statement: Reducing Provider and Patient Burden by Improving Prior Authorization Processes and Promoting Patients’ Electronic Access to Health Information Final Rule
- AHIP Comment Letter: Proposed Rule for Data Exchange and Prior Authorization
- AHIP Survey: Prior Authorization Grounded in Clinical Evidence and Selectively Used
- AHIP Announcement: New Fast PATH initiative Aims to Improve Prior Authorization for Patients and Doctors
- AHIP Statement: Health Care Leaders Collaborate to Streamline Prior Authorization and Improve Timely Access to Treatment
- Prior Authorization FAQ