Look for the results of the 2026 Prior Authorization in Canada report soon. You can find an overview of key findings in this link.
After the release of a comprehensive report on Private Payer Prior Authorization in Canada in Fall 2020, the Simplify Prior Authorization (SPA) initiative was created to advocate for improvements in the prior authorization (PA) claims process. Since then, SPA has shared new insights into PA and explored the many opportunities for improvement through multiple media.
Among the many accomplishments since 2020, working groups have created content for the SPA website, including an instructional video on prior authorization, explored electronic prior authorization vendors, networked with physician groups, patient groups, patient support programs, payers and other stakeholders involved in the prior authorization process.
The SPA working group, supported by our financial partners, also provided input into the Prior Authorization Framework and Accreditation (PAFA) Program that is a membership program for all stakeholders who support better prior authorization practices and processes, and accreditation program for payers who follow the Framework.
Find answers to your questions on the prior authorization (PA) process. Plus learn about electronic prior authorization (ePA), why it is important and how it will improve claims process for patients and everyone in the circle of care, including physicians, payers and pharmacy. Plus scroll down to sign up to our newsletters, find out about upcoming webinars on prior authorization, and read our PA blogs.
Claims requiring prior authorization are usually completed manually and submitted to payers on paper, either mail or fax. Electronic prior authorization is a second level of efficiency that will benefit patients and reduce administration costs for payers and plan sponsors. Find out more about ePA and how it will improve the process. Look for industry innovations in 2026.
Contact the SPA team with any questions, comments, to find out more, get involved, or for sponsorship of this important initiative. Plus you can register to receive upcoming blogs, podcasts, and for notification about upcoming webinars.
In this blog, we focus on the important role of Drug Review Committees in maintaining a responsive and sustainable PA process through a regular review of existing medications as well as reviewing new medications that may be subject to prior authorization.
The interest in prior authorization is growing, which is driving more interest in reforming current practices and policies to become more efficient and drive down administration costs and reduce the time-consuming claims process.
In this podcast Ramy El-Kholi, Chief Commercial Officer with OkRx joins Denise Balch to provide an update on the development of electronic prior authorization (ePA) and its implementation in Canada.
The Simplify Prior Authorization initiative is an advocate for education about prior authorization (PA) and improvement in current prior authorization practices and processes. If your organization is interested in finding out more, getting involved, or in sponsorship of this important initiative, please contact us via the link below.