Empowering Care Teams with Responsible and Scalable Artificial Intelligence

Complexities within the prior authorization process, in addition to sheer volume, can consume a significant amount of care teams’ time. In fact, a 2024 American Medical Association survey found that physicians and their staff spend an average of 14 hours completing prior authorization requests each week, and 84% of physicians report that the number of prior authorizations required for prescription medications has increased over the last five years.^{[0]American Medical Association. 2024 AMA prior authorization physician survey}

Care teams with access to CoverMyMeds through an integration with their health system^{[0]Select health systems} can now significantly reduce the time and effort required to process prior authorization requests, while also improving the quality of prior authorization submissions.

Early automation pilot results have shown:

• 83% reduction in prior auth turnaround time^{[0]Turnaround time when viewing a clinical question set to submitting the clinical questions[0]CoverMyMeds data on file, 2025; pilot results were achieved in collaboration with CoverMyMeds' AI pilot partner; data were evaluated from April 1, 2024 - March 31, 2025}
• 10 hours faster submission times after receiving clinical question sets^{[0]CoverMyMeds data on file, 2025; pilot results were achieved in collaboration with CoverMyMeds' AI pilot partner; data were evaluated from April 1, 2024 - March 31, 2025}
• Observed 26% increase in prior authorization request approvals^{[0]CoverMyMeds data on file, 2025; pilot results were achieved in collaboration with CoverMyMeds' AI pilot partner; data were evaluated from April 1, 2024 - March 31, 2025}