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Search results for: health insurance

ACR Proposes New ICD-10 Code to Capture ‘Pre-RA’

From the College  |  October 7, 2022

On Sept. 13, the ACR and Kevin D. Deane, MD, PhD, presented a proposal to create a new clinical code to recognize a condition in which an individual may exhibit rheumatoid arthritis-related autoantibodies without clinical presentation.

Filed under:Billing/CodingFrom the College Tagged with:CodingICD-10 code change requestpre-rheumatoid arthritisRheumatoid Arthritis (RA)

2022 RDAM Report Card

Rheumatic Disease Report Card 2022 Released: No A’s Given Overall; Oklahoma Ranks Most Improved

Vanessa Caceres  |  September 13, 2022

The 2022 Rheumatic Disease Report Card found that many states can improve access to care, affordability & activity for their residents living with rheumatic diseases.

Filed under:American College of RheumatologyFrom the College Tagged with:RDAMReport CardRheumatic Disease Awareness Month

How the U.S. Will Set Up New Medicare Drug Price Talks

Ahmed Aboulenein  |  September 6, 2022

WASHINGTON—The U.S. government will soon begin hiring experts and collecting the data needed to launch direct negotiations over prescription drug prices for older and disabled people, a top Biden administration official told Reuters. President Joe Biden last week signed into law the Inflation Reduction Act, introducing new policies to tackle climate change, taxes and the…

Filed under:Drug UpdatesLegislation & Advocacy Tagged with:Centers for Medicare & Medicaid Services (CMS)drug pricingInflation Reduction ActpolicyU.S. Centers for Medicare and Medicaid Services (CMS)

Dermatologist, Rheumatologist Discuss Refractory Cutaneous Lupus Case

Richard D. Sontheimer, MD, & Samantha C. Shapiro, MD  |  September 5, 2022

As a dermatologist/internist with a career-long subspecialty interest in the cutaneous manifestations of the rheumatic diseases, I found the case of refractory acute cutaneous lupus by Samantha C. Shapiro, MD, in the June 2022 issue of The Rheumatologist intriguing in several ways, and I felt my perspectives on this case might provide additional educational value…

Filed under:ConditionsOpinionSpeak Out RheumSystemic Lupus Erythematosus Tagged with:case reportcutaneous lupus erythematosus (CLE)Dermatologydiagnostic imagingimage caseimage case reportletter to the editor

Florida Law Puts Drug Pricing by Pharmacy Benefit Managers Under a Microscope Once Again

Catherine Kolonko  |  August 8, 2022

As of July 1, a Florida bill increases oversight of pharmacy benefit managers and offers some protection for pharmacies. However, the legislation has limited effects on patients and providers, highlighting the need for additional reform.

Filed under:Legislation & Advocacy Tagged with:Floridapharmacy benefit managers (PBMs)state legislation

Zenobillis / shutterstock.com

Rheumatologists Share Lessons Learned in the Wake of Hurricane Ida

Susan Bernstein  |  July 13, 2022

Hurricane Ida intensified in the last two weeks of August 2021, battering the Cayman Islands and Cuba before hitting the Louisiana coast as a Category 4 storm just before Labor Day weekend.1 At landfall, Ida blasted southern Louisiana with maximum sustained winds of 150 knots, then turned in a north-northwestern direction to hit the New…

Filed under:EMRsFacilityPractice Support Tagged with:Disaster preparationNatural disaster

ACR-FDA Summit Focuses on Study Design, Safety Considerations

Vanessa Caceres  |  June 21, 2022

Safety considerations and data sources are crucial to consider when designing studies for rheumatology treatments, according to presenters at the 2022 ACR-FDA Summit.

Filed under:Meeting Reports Tagged with:ACR-FDA Summitclinical trialsstudy design

A Primer on Copay Accumulator Programs

Donald Miller, PharmD, & Laura Sampson, PA-C  |  June 17, 2022

The growing use of copay accumulator programs, which restrict the application of patient assistance funds toward cost-sharing requirements, hurts patient access to life-changing treatments. This was one topic discussed during the ACR’s Advocacy Leadership Conference in D.C. this May.

Filed under:Interprofessional PerspectiveLegislation & Advocacy Tagged with:Access to careAdvocacy Leadership Conferencecopay accumulatorsdrug costsLegislation & Advocacy

Concierge Care: Basketball, Hotels & the Future of Rheumatology

Philip Seo, MD, MHS  |  June 14, 2022

I wouldn’t normally look to professional basketball as a model for healthcare, but sometimes answers come from unexpected places. The observation that elite athletes are not like you and me—medically speaking—is not new. In the second century AD, the pontifex maximus in Pergamum recognized this fact and appointed Claudius Galen physician to the gladiators, making…

Filed under:OpinionProfessional TopicsRheuminationsSpeak Out RheumWorkforce Tagged with:burnoutconcierge medicine

ACR Leaders to Meet with Members of Congress at May 12 Capitol Hill Event

From the College  |  April 25, 2022

The meetings will focus on legislation affecting rheumatology, including bills on graduate medical education and use of copay assistance funds.

Filed under:American College of RheumatologyLegislation & Advocacy Tagged with:ACR Capitol Hill visitcopay accumulatorsgraduate medical educationLegislation & Advocacypediatric loan repaymentprior authorizationstep therapy

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