Threshold denial rates in prior authorization prescription programs.
In this special report, the economics of prior authorization is examined with a focus on the break-even rate that requests are denied. Using a simple theoretical model, comparative static results are derived and used to consider the cost-effectiveness implications of future changes in prior authorization policies.
Grant
William C
WC
Department of Economics, University of North Carolina, Chapel Hill, NC 27599, USA. wgrant@email.unc.edu
Yoder
David M
DM
Mullins
C Daniel
CD