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Search results for: biosimilars

A Look Back at 2024 Regulatory Developments

From the College  |  January 6, 2025

In 2024, key federal healthcare regulations and policy developments—related to health insurance, privacy protections, reimbursement, biosimilar use and more—shaped the landscape of the practice of rheumatology in several important ways.

Filed under:GuidanceLegal Updates Tagged with:Regulation

Voice of Rheumatology Coalition Meeting: Enhancing Collaboration

Joseph Cantrell, JD  |  December 9, 2024

The Voice of Rheumatology (VOR) Coalition convened last month at ACR Convergence 2024 in Washington, D.C., to discuss the pressing federal and state legislative priorities that will affect both the practice of rheumatology and patient care in the year ahead. The Coalition, composed of leading rheumatology professional societies and patient advocacy groups, gathered to examine…

Filed under:ACR ConvergenceLegislation & Advocacy Tagged with:ACR advocacyACR Convergence 2024Voice of Rheumatology Coalition

The Ethical Tug-of-War Over Biosimilar Adoption

Karen Ferguson, MS, & Richard L. Allman, MD, MS, FACP, FACR  |  December 9, 2024

The advent of biosimilar medications has offered the promise of significant cost savings for healthcare systems and patients. Biosimilars are highly similar versions of existing biologic drugs, providing a more affordable alternative once the original biologic patent expires. However, the adoption of biosimilars in the U.S. has been hampered by myriad roadblocks, many of which…

Filed under:Biologics/DMARDsDrug UpdatesEthicsGuidance Tagged with:BiosimilarsEthics ForumMedical necessitypharmacy benefit managers (PBMs)

FDA Officials Discuss Extrapolation & Confusion Around Pediatric Therapies

Thomas R. Collins  |  December 3, 2024

A session at ACR Convergence 2024 addressed several recent drug approvals in pediatric rheumatology and a safety update for IL-1/IL-6 inhibitors.

Filed under:ACR ConvergenceDrug UpdatesPediatric Conditions Tagged with:ACR Convergence 2024Biosimilarsdrug approvalsinterchangeabilityPediatric RheumatologyU.S. Food and Drug Administration (FDA)

Unless Congress Acts, Medicare Reimbursement Will Remain Flat or Drop in 2025

From the College  |  November 12, 2024

The 2025 Medicare Physician Fee Schedule final rule, released Nov. 1, includes a conversion factor of $32.3465, a 2.83% drop from 2024. In response to advocacy efforts from the ACR and other medical societies, Congress recently introduced the Medicare Patient Access and Practice Stabilization Act of 2024, which would eliminate the 2.83% payment cut and provide an inflationary update for 2025 equal to 50% of the Medicare Economic Index.

Filed under:Billing/CodingLegislation & Advocacy Tagged with:ACR advocacyMedicare Physician Fee Schedule (MPFS)Medicare Reimbursement

Updates from the ACR Insurance Subcommittee

From the College  |  November 12, 2024

The ACR Insurance Subcommittee (ISC) of the Committee on Rheumatologic Care has been hard at work, advocating to payers on behalf of the ACR and its members. Following is an update on some of the work this group has been doing to help address concerns about reimbursement and administrative burden, while ensuring continued access to…

Filed under:Uncategorized

ACR Convergence 2024 Preview: Key Business Takeaways

Carina Stanton  |  October 8, 2024

In sessions in the business of rheumatology track, rheumatology practice leaders will share ways to manage payer complexities head-on while also improving patient care.

Filed under:ACR ConvergencePractice ManagementPractice Support Tagged with:ACR Convergence 2024

Spotlight on Pediatric Rheumatology in Singapore

Jason Liebowitz, MD, FACR  |  September 26, 2024

A pioneer of pediatric rheumatology in Singapore, Dr. Elizabeth Ang details her unique clinical experiences.

Filed under:ConditionsEULAR/OtherGuidanceMeeting ReportsPediatric Conditions Tagged with:ACR/APLAR ExchangeAPLAR 2024

Affiliate Society Council Active & Reenergized, Reports Chair Gwenesta B. Melton, MD

Gretchen Henkel  |  September 21, 2024

ASC Chair Gwenesta B. Melton, MD, shares the connections and activities that are helping the council develop stronger ties in and outside the ACR.

Filed under:Legislation & AdvocacyProfessional Topics Tagged with:Affiliate Society Council (ASC)Association of Women in Rheumatology (AWIR)Coalition of State Rheumatology Organizations (CSRO)

How the ACR Helps with Reimbursement, Utilization Management & Other Practice Challenges

Carina Stanton  |  September 6, 2024

Improving reimbursement for underwater biosimilars is just one example of how the ACR’s practice advocates have achieved solutions to members’ insurance challenges. Here’s a look at current ACR efforts in insurance advocacy and how to get help with your own insurance challenges.

Filed under:InsurancePractice ManagementPractice Support Tagged with:ACR advocacyACR Insurance Subcommittee (ISC)Member benefits

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