Market Overview

NextGen Healthcare Completes Integration of CoverMyMeds, the Nation's Largest Electronic Prior Authorization Platform


Partnership Enhances Prior Authorization Process, Decreases Time
Spent on Administration

Quality Systems, Inc. (NASDAQ:QSII), known to its clients as NextGen
Healthcare, announced today that its cloud-based electronic health
record (EHR) ambulatory product, NextGen Office®, has completed its
integration with CoverMyMeds, the nation's largest electronic prior
authorization (ePA) solution. CoverMyMeds enables medical practices and
pharmacies to submit ePA requests for any medication and to all health
plans nationwide. Historically, the prior authorization (PA) process has
been manual via paper, faxes, and phone calls between providers,
pharmacies, and insurers.

The CoverMyMeds solution will be available to all providers using
NextGen® Office (formerly, MediTouch). Key benefits of the
fully-integrated solution include:

  • Providers can complete PA requests on average up to three times
    faster, saving valuable time in the office
  • Streamlined communications and improved productivity across providers,
    pharmacies and insurance companies, which helps to reduce delays for
    the patient awaiting their needed medication
  • Solution is built into design of workflow which provides ease of use
  • The ability to initiate, transmit and track the status of PA requests
    within the clinical workflow helps improve time to therapy and
    decreases prescription abandonment

"We believe the current prior authorization process places too much
administrative burden on all parties involved in the prescription
process, often resulting in medication abandonment," said Julia
Albright, Ph.D., Vice President, Solutions, NextGen Healthcare. "Our
goal is to work with CoverMyMeds to minimize this hassle for patients
and pharmacies, and help providers achieve greater productivity and
increase the ease of patients receiving their medications."

According to CoverMyMeds' 2018
ePA National Adoption Scorecard
, an annual report on the current
state of ePA in the industry, approximately 10% of prescription claims
are rejected by the pharmacy, and, on average, 66% of those
prescriptions require PA. Further, 36% of those prescriptions will be
abandoned due to the complex paper-based process. Providers who
exclusively use an electronic method for PA requests reported spending
2.5 fewer hours on average on PA each week. This underscores the need
for transforming the paper-based PA process into an electronic process
that helps minimize prescription abandonment and administrative waste.

"Adding a streamlined ePA solution at the point of prescribing further
enhances productivity within the EHR platform, while minimizing hassle
for patients and pharmacies," said Ryan Tarzy, VP, Strategy & Business
Development, CoverMyMeds. "We are thrilled to partner with NextGen
Healthcare to continue our mission of helping patients receive the
medications they need to live healthy lives."

For more information about CoverMyMeds' ePA solution, visit

About CoverMyMeds

CoverMyMeds, part of McKesson Prescription Technology Solutions, is a
leader in electronic prior authorization (ePA) and real-time benefit
check solutions, and one of the fastest growing health care technology
companies in the U.S. CoverMyMeds' network includes more than 500
electronic health record systems (EHRs), 62,000 pharmacies, 700,000
providers and most health plans and PBMs. By facilitating appropriate
access to medications, the company can help its customers avoid billions
of dollars each year in administrative waste and avoidable medical
spending caused by prescription abandonment. Visit
for more information.

About Quality Systems, Inc.

Quality Systems, Inc., known to its clients as NextGen Healthcare,
provides a range of software, services, and analytics solutions to
medical and dental group practices. The company's portfolio delivers
foundational capabilities to empower physician success, enrich the
patient care experience, and enable the transition to value-based
healthcare. Visit
for additional information.

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