Utilization and outcomes of Missouri Medicaid's EHR: CyberAccess.

CyberAccess is MO HealthNet's web-based electronic health record solution. Our objective is to characterize the utilization of CyberAccess by physicians caring for MO HealthNet recipients. Our results demonstrate that the CyberAccess EHR solution for MO HealthNet has been a highly utilized tool in the care of its recipients.

Evaluation of an automated system for prior authorization: a COX-2 inhibitor example.

Objective: To evaluate the effectiveness of an automated prior authorization (PA) system (SmartPA) in reducing use of and expenditures for cyclooxygenase-2 (COX-2) inhibitors.

Study Design: Before and after with control group.

Methods: After implementation of SmartPA in Missouri, changes in use of and expenditures for COX-2 inhibitors, COX-2 substitutes (traditional nonsteroidal anti-inflammatory drugs [NSAIDs] and other products for pain), and gastrointestinal (GI) protective agents were compared between the Medicaid program of Missouri and that of a state with no PA program for COX-2 inhibitors.