ACR Convergence

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Search results for: health insurance

Overcoming Healthcare Disparity

Thomas R. Collins  |  December 14, 2022

PHILADELPHIA—Quality improvement (QI) tools in pediatric rheumatology can help overcome health outcome disparities that are based on race, gender identity, income and other factors, experts said in a session at ACR Convergence. With it well established that these disparities exist, it’s time to begin eliminating them, said Emily Smitherman, MD, MS, assistant professor of pediatric…

Filed under:ACR ConvergenceMeeting ReportsProfessional Topics Tagged with:ACR Convergence 2022EquityQIquality improvement

Telehealth Brings Opportunities to Enhance Patient Care

Ruth Jessen Hickman, MD  |  December 8, 2022

During an ACR webinar in August, presenters discussed multiple aspects of telehealth in rheumatology, especially related to rheumatology fellowship training. They agreed that although telehealth represents one potential avenue to improve patient access to treatment for rheumatic disease, we must keep identifying the best ways to employ telehealth to enhance care. Impact of Pandemic Telemedicine…

Filed under:Information TechnologyMeeting ReportsPractice SupportTechnologyTechnology Tagged with:telehealthtelemedicine

September Updates from the ACR Insurance Subcommittee

Rebecca Shepherd, MD, MBA, FACR, FACP  |  September 3, 2022

In recent months, the ISC has engaged with payers to reduce administrative burden on practices and continues to advocate to the CMS for the use of complex administration codes for biologics.

Filed under:American College of RheumatologyBilling/CodingFrom the CollegeInsuranceLegislation & Advocacy Tagged with:ACR advocacyACR Insurance Subcommittee (ISC)Local Coverage Article (LCA)Medicare Administrative Contractors (MACs)modifier 25prior authorizationRebecca Shepherd

Where Mental Health & Rheumatology Overlap

Where Mental Health & Rheumatology Overlap

Katie Robinson  |  June 13, 2022

Because rheumatologists and mental health experts both treat patients with depression, anxiety, pain, disability and sleep disorders, provider cross-training may benefit patients and providers themselves. “When a patient has active psychosocial distress, this has a negative effect on their physical function. Similarly, if a patient has active physical symptoms, like a rheumatoid arthritis flare, this…

Filed under:Conditions Tagged with:DepressionMental Healthmind-body therapypsycho-social

Update from the ACR Insurance Subcommittee

Rebecca Shepherd, MD, MBA, FACR, FACP  |  March 18, 2022

The ISC has worked with CVS Caremark to revisit changes to its prior authorization forms that would have increased the administrative burden on practices, and patients with Blue Cross Blue Shield of South Carolina may not have to worry about switching to a self-administered biologic.

Filed under:American College of RheumatologyInsuranceLegislation & AdvocacyPractice Support Tagged with:ACR Insurance Subcommittee (ISC)drug accessinsurance advocacyphysician-administered therapyprior authorization

ACR Insurance Subcommittee Chair Encourages Member Engagement

Carina Stanton  |  January 20, 2022

Rheumatology practices have a voice in payer advocacy through the Insurance Subcommittee of the ACR’s Committee on Rheumatologic Care.

Filed under:InsuranceLegislation & AdvocacyProfiles Tagged with:ACR Insurance Subcommittee (ISC)AdvocacyCommittee on Rheumatologic Care (CORC)insurance advocacyRebecca Shepherd

New Healthcare Price Transparency Requirements Are Complicated & Vary by State

Emily A. Johnson, JD  |  December 16, 2021

Healthcare law is ever changing, particularly with regard to price transparency. Key healthcare leaders and stakeholders have long argued for more stringent price transparency regulations in an effort to increase patient awareness regarding the cost of a hospital item or service prior to receiving the service. Such information is anticipated to enable patients to take…

Filed under:Billing/CodingLegal UpdatesPractice Support Tagged with:healthcare price transparency

Telehealth Exercise & Diet Programs Curb Pain & Boost Function in Knee OA

Marilynn Larkin  |  December 3, 2021

NEW YORK (Reuters Health)—In patients with knee osteoarthritis (OA), telehealth-delivered exercise and diet programs are superior to electronic health information for reducing pain and improving function, although the contribution of diet is modest, a randomized trial shows.1 “This research provides evidence from a large clinical trial to help tease out how much benefit dietary weight…

Filed under:ConditionsOsteoarthritis and Bone Disorders Tagged with:DietExercise/physical therapykneeKnee Osteoarthritis (OA)knee paintelehealthtelemedicine

Revisionist History: Seat Belts & Resistance to Public Health Measures

Philip Seo, MD, MHS  |  October 13, 2021

Some were furious. State by state, laws were enacted to ensure compliance. In most states, the laws were accompanied by a modest fine, as an added incentive. By the time the laws were written, most understood they were based on good science and common sense. The potential to save lives and prevent tragedy was finally…

Filed under:OpinionRheuminationsSpeak Out Rheum Tagged with:COVID-19vaccinationvaccine hesitancy

Rohane Hamilton / shutterstock.com

Healthcare Accessibility for People with Rheumatic Disease in New Haven, CT

Vaidehi R. Chowdhary, MD, & Jane E. Dee, BA, MALS  |  October 13, 2021

The COVID-19 pandemic exacerbated wide disparities that exist in the U.S. healthcare system. During the pandemic, the clinical practice in the Section of Rheumatology, Allergy & Immunology at Yale School of Medicine (YSM), New Haven, Conn., rapidly pivoted from face-to-face visits to telehealth to keep our patients and providers safe. Many patients quickly adapted and…

Filed under:Patient PerspectivePractice Support Tagged with:Access to careCOVID-19DisparitiesDr. Lenore Buckleytelehealth

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