Dermatology, Treatment Progression and Prior Authorization

Dr checklist with a patient

Podcast Featuring a conversation between Denise Balch, President, Connex Health and Dr. Neil Shear, recently retired Dermatologist and Professor Emeritus, Temerty Faculty of Medicine: Dermatology, Clinical Pharmacology & Toxicology. Before his retirement in 2021, Dr. Shear held several appointments at University of Toronto, Sunnybrook and Women’s College Hospital in Toronto. In retirement he continues to […]

Challenges and New Solutions in the Prior Authorization Landscape

Blog On April 19th and May 3rd, 2022, the Simplify Prior Authorization (SPA) initiative hosted webinars for patient groups and advisors/plan sponsors on the Challenges and New Solutions in the Private Prior Authorization Landscape. Presenters included Rachael Manion, Executive Director of Canadian Skin Patient Alliance and Canadian Association of Psoriasis Patients, Alan Birch, Associate Director […]

The Need for Administrative Efficiencies in Prior Authorization

An office clerk searching for files in a filing cabinet drawer

Podcast Featuring a conversation between Denise Balch, President, Connex Health and Ramy El-Kholi, Pharm.D., Chief Commercial Officer, OkRx. Ramy has held diverse roles in both Canada and the U.S. including patient support programs, specialty pharmacy start ups, pharmacy benefits management and digital health. In this podcast Ramy El-Kholi and Denise Balch will speak about the logistics […]

The Rough Road to Navigating Drug Access in Canada

A group of multiple health stakeholders working collaboratively.

Podcast Featuring a conversation between Denise Balch, President, Connex Health and Alan Birch, the Associate Director, Provider Solutions – Oncology with Sentrex. Alan is also the founder of Drug Access Canada. In this podcast Denise and Alan will speak about the reimbursement and approval process for patients who are prescribed specialty drugs that require prior authorization, […]

Addressing the Backlog of Cancer Patients

Doctor in hospital writing medical documentation and using laptop

Blog Can Prior Authorization Help Improve the Backlog of Cancer Patients Created by the Pandemic? Canadians with cancer have been experiencing longer times to diagnosis and medical treatment during the pandemic. A backlog has been building that will take years to address, according to Dr Tony Eskander, surgical oncologist of the mouth, throat and neck […]

Working Towards New Solutions in Prior Authorization

A group of multiple health stakeholders working collaboratively.

Blog Did you follow the Simplify Prior Authorization (SPA) initiative in the first half of 2021 after the release of the white paper on prior authorization (PA) in November 2020? The white paper included a summary of the opportunities and challenges for PA stakeholders and included recommendations to improve the PA process and the patient experience. You […]

Why Prior Authorization is Important to Physicians

Helpful Physicians

Podcast Featuring a conversation with Dr. Imtiaz Khan, Rheumatologist, practicing in Mississauga and Chair of the Ontario Rheumatologists Association Private Payers Committee.  This fourth podcast in our dedicated prior authorization (PA) series includes an engaging discussion with Dr. Khan about his experiences with PA in the private sector. He will share the burden of forms […]

Prior Authorization – The Future for Insurers and Pharmacy Benefit Managers (PBMs)

Consulting Dr. Review

Blog In previous SPA blogs and podcasts, we have addressed patient and physician perspectives on the current group benefit private PA process, sometimes called special authorization. PA is typically used by insurers as a manual claim submission and review process for high-cost speciality or high-utilization prescription drugs. Stakeholders involved in the PA process report that the administrative […]

Prior Authorization and Oncology

Cancer patient sitting with her daughter.

Podcast Featuring a conversation with Dr. Mark David Vincent, MB, ChB, MRCP(UK), FRCPC, Medical Oncologist, London Regional Cancer Program. Our Simplify Prior Authorization communications are gearing up. This third podcast in our dedicated prior authorization series will provide you with first hand insights into the challenges of efficient and timely access to therapies for oncology […]