Simplifying Access: Prior Authorization Part 1

Welcome to Episode 1 of our Simplified Access Series, where we explore real-world strategies to navigate prior authorizations and medication distribution challenges in hepatology and gastroenterology. In this conversation, hepatology nurse practitioners Allison Moser, Rush University Medical Center, Chicago, and Tedra Gray, Sinai, Chicago, are joined by Jeff Dunn, PharmD, a managed care veteran and CEO of a transparent pass-through PBM.

Together, they break down the daily clinical and administrative impact of prior authorization (PA), explore common frustrations providers face, and share actionable solutions to streamline the process. From documenting medical necessity to collaborating with payers and pharmacists, this episode offers practical tips to reduce delays, improve patient outcomes, and strengthen the provider-payer dynamic.

Jeff also offers an insider's view on what payers are really looking for when reviewing PA requests, why payer priorities can influence approval timelines, and how evidence-based decision-making intersects with healthcare cost trends.

If you're an advanced practice provider, pharmacist, or clinician navigating medication access barriers, this episode delivers valuable insights to advocate more effectively for your patients.

Be sure to subscribe to GHAPPcast to stay updated as we continue this three-part series on simplifying access. Visit ghapp.org for more tools and resources to support gastroenterology and hepatology APPs.