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Prior Authorization

Imtiaz Khan • Edition: Winter 2021

The Private Payers Committee gave a brief update on Prior Authorizations at the February 4/21 ORA Town Hall. Uncertainties surround the criteria used to approve/reject prescribed therapeutics and I would ask members to provide redacted rejections along with the dates of application submissions and resolutions (were they successful resubmissions? Was therapy changed?).  Please send examples to admin@ontariorheum.ca. We want to get an estimate of the scope and magnitude and will track this and work towards an appropriate response from the ORA.

Members interested in participating in a subcommittee are welcome!

Other Articles in the Winter 2021 Newsletter

  • President's Message
  • Interview With Ashley Sterrett on ArthritisAtHome
  • Informatics Update on the ORDER Project
  • Government Affairs Committee Update
  • Emerging Rheumatologists of Ontario
  • OMA Section on Rheumatology Report
  • Communications Update
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The ORA’s executive members are the core contributors to the newsletter. The ORA welcomes guest contributions to the newsletter from members-at-large and others in the rheumatology community.

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