Enhancing Care Delivery with Clinical Exchange ePrescribe and Surescripts Real-Time Prescription Benefit (RTPB)

Healthcare is constantly evolving to meet consumer demands and changing regulatory expectations. To keep up, technology-based solutions are playing a more significant role at every stage of care delivery and administration.

Clinical Exchange ePrescribe is one such solution that is modernizing the prescription journey. Integrated within the electronic health record (EHR), it connects providers to pharmacies for secure electronic prescription generation and routing. It streamlines workflow and improves accuracy, helping reduce manual labor and medication errors.

Clinical Exchange ePrescribe is also integrated with Real-Time Prescription Benefits (RTPB), which delivers patient-specific benefit and cost information in the electronic workflow so prescribers and pharmacists can make the best possible care decisions.

Innovating the prescription journey from start to finish

The prescription journey has come a long way in recent years with the introduction of electronic prescription solutions. These solutions are a convenient, cost-effective, and safe way for physicians, pharmacies, and patients to manage prescriptions and achieve positive outcomes.

Electronic prescribing, or e-prescriptions, sends prescriptions to pharmacies using the electronic health record (EHR) system. Eliminating paper-based prescribing—and the time spent calling in prescriptions—allows providers to instantly send prescriptions directly to a patient’s pharmacy.

Integration with the EHR gives physicians real-time information on a patient’s medication history and medical records. This data is used to help make decisions about new medications or alternative treatments, and enhances communication between healthcare providers, as medication orders can be shared among primary care physicians and specialists quickly and easily.

Patients’ prescription benefits information integrated into the electronic workflow provides real-time information on patients’ medication coverage. Providers can access comprehensive data on each patient’s coverage plan without manually verifying insurance eligibility or searching for pricing information. This can help lower overall prescription costs and improve patient outcomes.

Eliminating inefficient, time-consuming manual prescription processes

Managing prescriptions in a manual environment is a cumbersome and inefficient process. Errors can occur from manual data entry or handwriting interpretation. This increases labor costs and causes delays in medication delivery for patients.

Manually checking benefit information for each patient is also time-consuming. It may lead to prescribing a medication they cannot afford or that is not covered by their benefits.

Patients are increasingly concerned about medication costs. In Surescripts’ 2022 National Progress Report, 43% of patients said they were somewhat worried about prescription costs for themselves or someone in their family. Difficulty affording prescriptions was reported by 1 in 4 patients, with 1 in 3 respondents prescribed 4 or more medications.

Increasing prescription pricing transparency and medication adherence

Our Clinical Exchange ePrescribe is integrated with Surescripts Real-Time Prescription Benefits (RTPB), the industry’s most powerful prescription price transparency network. Providers and pharmacists have immediate access to real-time, patient-specific benefit and cost information. This helps reduce medication errors, improve price transparency, and add extra safety to medication prescribing.

Surescripts RTPB also makes it easier to complete prior authorizations. At a glance, physicians can see which drugs require prior authorization, then automatically launch the prior authorization process upon prescribing. This enhances in-the-moment conversations between providers and patients. Patients can be assured their prescription will be ready and prepared for the cost.

Clinical Exchange ePrescribe offers healthcare providers an intuitive platform that simplifies every step of the prescription journey for better efficiency each time a prescription is written. Our solution:

• Reviews patient-specific drug prices before prescribing and compares drug pricing across channel options such as mail order and retail.
• Helps reduce adverse drug events (ADEs) for patients through automated drug interaction checking including integrated drug-drug, drug-allergy, and duplicate therapy screening.
• Supports greater formulary compliance by flagging medications not covered by a patient’s health plan.
• Allows prescribers to evaluate clinically relevant and preferred therapeutic alternatives based on the patient’s benefits to make the best-informed treatment decisions.
• Connects to virtually all pharmacies nationwide, improving patient access, eliminating trips to drop off prescriptions, and shortening pharmacy wait times.
• Integrates with EHRs and practice management systems, helping reduce patient and medical data entry.
• Completes prior authorizations only when necessary and streamlines workflows at the point of care.
• Drives medication adherence as patients feel more confident about prescription accuracy and pricing transparency.

The integration of Surescripts RTPB improves pickup rates by 3.2%. It also lowers patient drug costs, with 11% lower out-of-pocket costs overall and 40% lower costs for high-cost drug classes.

Clinical Exchange ePrescribe with Surescripts RTPB is a significant step forward in improving healthcare and ensuring patients achieve the best possible outcomes. This connected and comprehensive solution transforms the prescription journey for providers, payers, pharmacies, and patients. More efficient workflows and improved prescribing accuracy increase cost savings and improve care delivery. Providers have greater access to up-to-date information on medication availability, coverage rules, and prior authorization requirements to make informed decisions and enhance the quality of care for patients.