Becker’s Healthcare Podcast Streamlining Long Acting Injectable PrEP Through Teamwork and Smarter Workflows
Dec 3, 2025
Dr. Steven K. Barnett, Chief Medical Officer at CAN Community Health, brings his expertise in HIV care to the discussion on improving access to long-acting injectable PrEP. He dives into the challenges of payer coverage and the complexities of authorization processes. Dr. Barnett shares innovative strategies for optimizing EHR workflows and enhancing team collaboration. He discusses the transformative impact of electronic prior authorization and how centralized coordination can reduce barriers for patients and providers, enriching the overall healthcare experience.
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Payer Coverage Was The Primary Early Barrier
- Initial payer coverage and authorization were the biggest early barriers to delivering long-acting injectable PrEP.
- Coverage models (pharmacy vs medical/buy-and-bill) and authorization complexity drove workflow changes at CAN Community Health.
Shift To Buy-And-Bill Took Financial Risk
- CAN moved from pharmacy-dispensed prescriptions to a buy-and-bill model and assumed financial risk to improve access.
- That change required careful scheduling and tracking to avoid wasted high-cost doses when patients missed visits.
Track Status And Prebook Appointments
- Use the EMR to track each patient's authorization status with structured data fields.
- Schedule follow-up LAI appointments in advance and use portal messages and calls to reduce missed doses.