Surescripts, Oracle Health Partner to Help Clear Prescription Barriers for Patients Nationwide

The planned workflow would check clinical information at prescribing; adding prescription pickup alerts remains exploratory.

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Key takeaways

• Surescripts Prior Authorization Automation will be available to prescribers inside the Oracle Health workflow¹.
• Prior Authorization Automation returns approvals within seconds when all criteria are met for available medications, helping patients start therapy sooner.

ARLINGTON, Va.--(BUSINESS WIRE)-- Surescripts® and Oracle Health are working together to help remove the barriers that keep patients from starting the medication their care team prescribed. Through the partnership, Surescripts Prior Authorization Automation will be available to prescribers within the Oracle Health workflow, helping patients access needed therapies without delays.

In a 2025 survey, 95% of physicians said the prior authorization process sometimes delays care, and 79% said it at least sometimes leads to treatment abandonment. Additionally, 1 in 4 people indicated that the cost of medications prevented them from filling a prescription, according to a report.

"When a prior authorization is resolved in seconds instead of days, it can make the difference between a patient starting treatment on time or not at all," said Frank Harvey, chief executive officer, Surescripts. "Expanding our collaboration with Oracle Health puts Surescripts Prior Authorization Automation into the hands of more prescribers to reduce delays and fill gaps in care, helping patients access needed treatments faster."

"Patients shouldn’t have to wait on paperwork or find out at the pharmacy counter that something went wrong with their prescriptions. Bringing Surescripts Prior Authorization Automation into the Oracle Health workflow reduces the administrative burden for caregivers and enables care teams to help patients access medications faster," said Seema Verma, executive vice president and general manager, Oracle Health and Life Sciences. "This collaboration is indicative of how healthcare organizations working together can benefit patients.”

Oracle and Surescripts will also explore incorporating First-Fill Abandonment within Oracle Health workflows to give providers insights into patients’ medication adherence before claims data arrives, allowing for earlier intervention when needed.

1 The new capabilities are planned for general availability in 2027.

Background

• Surescripts Prior Authorization Automation automatically matches clinical data with determination criteria at the time of prescribing by automatically retrieving the required information from the patient's electronic health record and sending it electronically to the pharmacy benefit manager (PBM). When prior authorization requirements are met, the request can often be approved without human intervention, while also creating an audit trail that can be reviewed at any point. If a request cannot be approved based on the clinical information submitted, the prescriber is prompted to complete a prior authorization request. Prior Authorization Automation delivers 18-second (median) approvals when all criteria are met for available medications.
  
  
• Surescripts First-Fill Abandonment proactively monitors new prescriptions sent across the Surescripts network, and flags when patients don’t pick them up at pharmacy. These early insights enable provider organizations to tailor patient support strategies that can result in improved value-based care performance, including STARS & HEDIS measures, and lead to better patient care.

About Surescripts

The Surescripts platform brings healthcare together to inform and accelerate decisions, helping keep patient care on track. Our network reaches nearly every patient in the country and gives Surescripts an unmatched, near-real-time view of prescribing and care activity at scale. With our suite of solutions and the trusted relationships we’ve built across healthcare, we turn health intelligence into action that accelerates interoperability, clinical data exchange, prior authorizations and more. Learn more at surescripts.com.

About Oracle

Oracle offers integrated suites of applications plus secure, autonomous infrastructure in the Oracle Cloud. For more information about Oracle (NYSE: ORCL), please visit us at www.oracle.com.

Trademarks

Oracle, Java, MySQL and NetSuite are registered trademarks of Oracle Corporation. NetSuite was the first cloud company—ushering in the new era of cloud computing.

View source version on businesswire.com: https://www.businesswire.com/news/home/20260924436559/en/

Media Contacts

Surescripts
Kate Giaquinto
kate.giaquinto@surescripts.com

Oracle Health
Stephanie Greenwood
Stephanie.greenwood@oracle.com

Source: Surescripts

Key Terms

prior authorization medical

Prior authorization is a process where a health insurance company requires approval before covering certain medical services or medications. It functions like a pre-approval step, ensuring that the treatment is necessary and appropriate before expenses are paid. For investors, understanding prior authorization is important because delays or denials can impact healthcare costs, provider operations, and the financial stability of related companies.

electronic health record technical

A digital version of a patient’s medical chart that collects health information — diagnoses, medications, lab results, imaging and doctors’ notes — in one place so authorized clinicians can view and update it. For investors, electronic health records matter because they drive revenue and costs for companies that build, sell or rely on them, influence how quickly care is delivered, and create opportunities (and risks) tied to data access, software updates, regulation and patient privacy. Think of it as an online file cabinet for health that affects how the healthcare system runs and spends money.

pharmacy benefit manager financial

A pharmacy benefit manager (PBM) is a company that manages prescription drug plans for health insurance providers, employers, and other organizations. They negotiate prices with drugmakers, decide which medicines are covered, and handle the distribution of prescriptions. For investors, PBMs are important because they influence healthcare costs and profit margins in the pharmacy industry.

hedis medical

HEDIS is a standardized set of measures used to evaluate how well health insurance plans deliver care and preventive services. Think of it like a report card that compares plans on things such as screenings, chronic-disease management and vaccination rates; investors monitor HEDIS scores because they affect plan reputation, consumer choice, quality-linked payments and regulatory scrutiny, all of which can influence membership, revenue and long-term growth.