Is your organization interested in positive change in prior authorization (PA) processes? If so, consider membership or associate membership in the new non-profit Prior Authorization Framework and Accreditation (PAFA) Program. Whether you are an advisor, plan sponsor, patient support, insurer or other payer of prior authorization claims, you can join the Prior Authorization Framework and Accreditation (PAFA) Program.
Who’s joining? Applications are already coming in and we’ll be announcing our first group of members and associate members in Spring 2025.
When your organization becomes a member, it will be recognized for its commitment and you can use the PAFA membership branding on your communications and on your website. You can also get involved in communications, governance, shaping the future of the Framework, and our annual survey and report. Members who want to be recognized for their achievements in PA can apply for accreditation based on the Framework.
Payers: For those payers who haven’t already provided their input to us, membership will give them an opportunity to have their say in PAFA. Gold members can apply for a seat on the Framework and Accreditation Advisory Board (FAAB). We are reserving seats for payers to participate and look forward to collaborating to make PAFA work for everyone. To qualify for Silver or Gold membership, payers must commit in writing to PAFA’s Guiding Principles and communicate this commitment both internally to employees, as well as externally to patients and stakeholders.
Non-Payers: Are eligible to become associate members of PAFA, whether they participated in the PAFA Program Guide review or not. Gold associate members can also apply for a seat on the FAAB and the Accreditation Panel. The Accreditation Panel will review payer applications for accreditation, or recognition at one of three levels.
Why Join PAFA?
There are other benefits to membership and associate membership:
- Recognition: Acknowledgement on the PAFA website and in communications, showcasing their commitment to improving PA practices.
- Branding: Use of the PAFA membership logo to promote their status, demonstrating a commitment to enhancing PA processes.
- Advance Notice and Input: Early notification of changes to Guiding Principles and the Framework, and the opportunity to provide input before changes are finalized.
- Annual Reporting: Opportunities to contribute to our annual survey and report, and receive detailed insights from PAFA’s annual report on PA in Canada.
Becoming a member of the PAFA program is more than just joining an organization—it’s a bold commitment to driving meaningful change in Canada’s prior authorization landscape. By aligning with PAFA’s vision, your organization positions itself as a leader in improving communication and workflow for PA claims. This reduces the administrative burden for all stakeholders and improves the timeliness of patient access to medications. That means better health outcomes for plan members who can stay at work or return to work more quickly.
Whether you’re a payer eager to gain a competitive edge by adopting new efficiencies, a patient group advocating for better care, or a pharmaceutical innovator shaping the future of healthcare, PAFA membership offers the tools, recognition, and influence to make a lasting impact in today’s landscape. Together, we can create a more efficient, patient-focused healthcare system.
Take the next step in transforming prior authorization—join PAFA today and be part of a brighter future for healthcare in Canada.
Organizations interested in joining PAFA can apply online:
For questions or assistance with the application process, contact Denise Balch at denisebalch@priorauthframework.ca or call 905-220-4260.
