When Optum clinical pharmacists noticed that fast-moving paperwork was actually creating a barrier to injured workers getting urgent HIV Post-Exposure Prophylaxis (PEP) medications, they jumped into action.
While these life-saving treatments must be administered within a strict 72-hour window, the transition between claim phases triggered prior authorization requirements that stalled access at the pharmacy.
By working closely with the client, they rapidly bridged the gap between policy mechanics and the clinical clock. The resulting alignment, which removes the original administrative barriers, allows injured workers to receive essential, time-sensitive care without delay.
Read more to find out how.