What is the impact of utilization management tools, including prior authorization, step therapy, and quantity limits, on patient clinical outcomes?

Evidence is limited or indirect but suggests utilization management tools like prior authorization, step therapy, and quantity limits can adversely impact patient clinical outcomes, primarily through delays in treatment and increased medication abandonment.

Authors

Publication Details

Journal
Zenodo (CERN European Organization for Nuclear Research)
Published
2026-11-11
DOI
https://doi.org/10.5281/zenodo.24142743
Primary Topic
Healthcare Policy and Management
Type
article
Field-Weighted Citation Impact
0.00
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article

What is the impact of utilization management tools, including prior authorization, step therapy, and quantity limits, on patient clinical outcomes?

Tripdatabase
Zenodo (CERN European Organization for Nuclear Research)
Healthcare Policy and Management
article

What is the impact of utilization management tools, including prior authorization, step therapy, and quantity limits, on patient clinical outcomes?

Tripdatabase
article en

Abstract

Evidence is limited or indirect but suggests utilization management tools like prior authorization, step therapy, and quantity limits can adversely impact patient clinical outcomes, primarily through delays in treatment and increased medication abandonment.

Zenodo (CERN European Organization for Nuclear Research)
Healthcare Policy and Management
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What is the impact of utilization management tools, including prior authorization, step therapy, and quantity limits, on patient clinical outcomes? — Tripdatabase · Zenodo (CERN European Organization for Nuclear Research) (2026) | TGRS Research Map | TGRS