Reflecting on 2017, Looking Ahead to 2018

By Dan Rubin, CEO

Happy New Year to everyone!  As people often do, when a year ends, I like to reflect upon the accomplishments of the past year while looking forward to the great things ahead in the coming year.

2017 was a banner year at PARx Solutions.  The company continued to grow in both prior authorization (PA) volume and clients.  PARx assisted more physician practices with their PA support than in any previous year.  We added new capabilities in our PARx Prior Authorization Support System (PASS) system and launched new services to better support patients, physician practices and our pharmaceutical clients.

Why are more and more pharmaceutical clients and physician practices choosing PARx as their partner to assist with PA management and support?  From a pharma perspective, we have seen more brands abandon their previous “forms based” PA service as they realize that simply sending a PA form to a physician does not ensure that the PA will be submitted.  Several clients commented that they were no longer interested in paying for PAs that are never submitted to plans.

Physician practices are learning that the PA process often doesn’t end when the initial form is submitted to the plan.  Many plans send back second patient-specific forms to be completed.  Follow-up calls to plans to check status often result in long telephone hold times.  In general, practices have come to appreciate the full-service approach to PA management offered by PARx.

PARx launched several new enhancements to our PASS system in 2017.  Early in the year, we introduced our group practice log-in credentials, enabling a designated registrant from a group practice to submit PAs for any physician in the practice under a single user log-in.  At the same time, we simplified our registration process, allowing new users to register and electronically sign their HIPAA business associate agreement at the same time.  In the summer, PARx launched Guest PASS, enabling any physician to submit PAs through PARx Solutions, whether they were registered on not.  We also added a “Chart Upload” feature that makes it much easier to include supportive information from the patient’s medical record.

In 2017, PARx offered our new “PA Card” service.  This new service works in partnership with coupon card providers to identify new Rx’s filled with the assistance of a coupon card but where the primary insurance requires a PA.  In these cases, PARx notifies the prescribing physician that their patient will require a PA in order to get their refills covered by their plan, and provides a unique code where the physician (whether registered or not) can access a partially completed PA for that patient in PASS.

With 2017 in the rearview mirror, we are excited about what is in store for PARx in 2018.  We expect to continue to add new capabilities and services to support our physician practices and pharma clients.  By mid-year, PARx will introduce our new electronic PA (ePA) capability.  The PARx ePA service will be a unique “hybrid” service offering both speed and convenience for PA submissions to plans that are “ePA ready,” while continuing to provide our high level of full-service support for submissions to plans that are not yet equipped to handle ePAs.  This whole process will be “invisible” to physician practices as they will simply access all their PAs through our PASS portal as they have done in the past.  We are confident that our approach to ePA will set a high standard for PA support in the industry.

As always, I want to thank all of our physicians, their staff, and our pharmaceutical clients for their support and I look forward to working together in 2018 and beyond.

New Podcast Series: Meeting the Prior Authorization Challenge – A Prescription for Patients and Physicians

By Dan Rubin, CEO

As part of our dedication to providing physician practices with the insights they need to lessen the impact of PAs on office workflow and most importantly, to better ensure that patients received the medications their doctors deem best for their treatment, my colleagues and I have unveiled a free podcast series entitled “Meeting the Prior Authorization Challenge: A Prescription for Patients and Physicians“. The series consists of short, insightful conversations with members of the PARx Solutions team, doctors, and practice staff.

Prior authorizations aren’t going away, so it is essential that physician offices empower themselves to better handle the process. Who better to hear from on PAs than doctors and practice managers managing this process on a daily basis? By giving a voice to their frustrations, we hope to raise awareness of the solutions PARx offers at no cost to physician offices.

Topics thus far addressed in the podcast series include:

Episode One: What is PARx Solutions, and why do I need it?
Yours truly launches the podcast series by explaining what prior authorization are and the challenges they raise for physician practices. I also provide an overview of the service provided by PARx Solutions is and how it helps improve practice workflow and patient access to prescribed medications.

Episode Two: Prior authorizations and ophthalmology
Ophthalmologist Dr. Bingjing Roberts weighs in on the importance of prior authorization within her line of medicine and highlights how working with a PA provider has been helpful in ensuring her patients receive the prescriptions they need.

Episode Three: A practice staff member’s perspective
Ophthalmic Assistant Jeanette Key explains how PARx Solutions’ customer service team is fundamental to her practice better ensuring its patients receive the medications their physician prescribes.

Take a listen, and let me know what you think! Have a topic you’d like addressed in a future podcast? Drop a line to with your suggestion and feedback.

Episode Two: Prior authorizations and ophthalmology

Ophthalmologist Dr. Bingjing Roberts weighs in on the importance of prior authorization within her line of medicine and highlights how working with a PA provider has been helpful in ensuring her patients receive the prescriptions they need.

Note: This audio player is not supported in Internet Explorer 8 and earlier versions.

Tackling the Prior Authorization Challenge: A Critical Task for Pharma

Pharmaceutical Executive | Dan Rubin | May 4, 2017

our-solutionsTalk with busy physicians and you’ll soon hear about the ever-increasing difficulty in getting approval for the medications that they believe are most appropriate for their patients. For pharma marketers, a superior efficacy, side effect and dosing profile is a necessary start, and a favorable managed care formulary position can be another positive step toward commercial success—but, more and more frequently, a prior authorization (PA) request must be approved before a medication can be dispensed and taken by the patient.  Read Article

The Year Ahead: What’s On the PARx Horizon

By Dan Rubin, CEO


“Listen to the voice of the customer.”  It is an age-old business adage and one that the best companies always take to heart.    Over the past several months, we have had discussions with dozens of physicians and their staff to understand how our service can help them save even more time, produce higher PA approval rates, and most importantly help their patients get the therapy that is best suited to treat their conditions.  When customers speak, we listen!

We are excited to announce several enhancements to our PASS system – many created in response to feedback from physician practices utilizing our PASS service –  that we will be rolling out in the first quarter, including:

  • Single-User, Multi-Physician log-in: Group practices will be able to designate PASS users who can submit prior authorizations (PAs) for multiple physicians in the practice under a single log-in.
  • Chart note uploads: Users will be able to upload chart notes directly into the PASS submission, eliminating the need to print and fax these separately.
  • Electronic signatures: Prescribers will be able to register for PASS and electronically sign their HIPAA Business Associate Agreement, enabling them to register and immediately begin to submit PAs.

PARx continues to add new sponsored products to our roster.  For example, we  have added new brands to our already comprehensive list of eye care products covered, and are significantly strengthening our roster of covered products in several other therapeutic areas including diabetes, GI, weight loss, and dermatology to name a few.

PARx is in discussions about partnering with multiple Electronic Medical Records (EMR) providers.  Our goal is to enable registered PASS users to initiate PAs from within their EMR, pre-populating the PA submission with information from the patient record.  For some large group practices, PARx will be fully integrating with their EMR to provide the most efficient and comprehensive PA service in the market today.

We highly value the trust that our users have placed in PARx, and we constantly strive to improve on our market-best PA service.  I would like to personally thank all of our users and wish each of you a happy and healthy holiday season and new year. We look forward to 2017 with enthusiasm!

Prior Authorization: Minor Inconvenience or Threat to Pharma Viability?

Pharmaceutical Processing | Dan Rubin, CEO | December 1, 2016

Tackling the Prior Authorization Challenge

The commercial dynamics facing the pharmaceutical industry have shifted in recent years.  It is no longer sufficient to market pharmaceutical products based solely on efficacy and side effect profile, or to contract with managed care for formulary positions. It has become vitally important for pharma to help physicians navigate the complex maze of patient access due to managed care restrictions, in order to help patients receive the best treatment for their condition.  Read the full article

ODs get assistance with prior authorizations for prescriptions

Primary Care Optometry News, November 2016

Optometrists say they are providing better patient care by using a prior authorization service that facilitates patients receiving insurance coverage of necessary medications.

PARx Solutions’ free support system helps prescribers and their staff process prior authorizations (PAs) without having to call insurance companies and search for forms.

“For a practitioner, prior authorization is a frustrating and burdensome process,” Dan Rubin, PARx Solutions president and CEO said in an interview with Primary Care Optometry News. “We are trying to make sure patients can get the medication best suited to treat their condition. We want to remove hurdles and give doctors power and confidence to write the prescription and have a strong likelihood that patients can get the medicine.”

Harvey Richman, OD, FAAO, FCOVD, a PARx user and private practitioner from Manasquan, N.J., told PCON that this service helps him make better clinical decisions.

“You can request prior authorization in under 3 minutes, which gets medications to patients sooner,” he said.

Read the full article