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Search results for: health insurance

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

New No-Surprises Rules May Affect Rheumatology Services at Hospitals

Emily A. Johnson, JD  |  April 15, 2022

This month, we offer an overview of the federal No Surprises Act, which stipulates that healthcare insurers may not surprise patients with out-of-network care bills, instead requiring healthcare providers and insurers to broker price compromises between themselves. The No Surprises Act, enacted on a bipartisan basis in December 2020, protects patients from surprise billing from…

Filed under:Billing/CodingLegal UpdatesPractice Support Tagged with:Centers for Medicare & Medicaid Services (CMS)No Surprises Actprice transparencysurprise medical bills

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Private Practice, Research, Academia? Career Tips for Rheumatology Fellows

Herbert S.B. Baraf, MD, FACP, MACR  |  April 15, 2022

As rheumatology fellows approach the end of what for many is 25th grade, it’s time to focus on what you want to do for the rest of your life. For most rheumatology fellows it will be some form of clinical practice, although enormous opportunities exist throughout the medical field for you to apply your talents….

Filed under:Career DevelopmentProfessional Topics Tagged with:community practiceFellowsPrivate practice

The Ins & Outs of Patient Assistance Programs

Samantha C. Shapiro, MD  |  March 3, 2022

Although effective against rheumatic disease, biologic therapies come with hefty price tags. Patient assistance programs can be a useful resource to help under- and uninsured patients get the drugs they need.

Filed under:Biologics/DMARDsDrug UpdatesPractice Support Tagged with:biologic therapiesdrug costsfederally qualified health centerpatient assistance programs (PAP)patient careuninsured Americans

Lessons from Caring for the Underinsured & Uninsured

Samantha C. Shapiro, MD  |  February 17, 2022

As the first rheumatologist at a federally qualified health center in Austin, Texas, Samantha Shapiro, MD, learned several practical tips for the care of uninsured and underinsured patients with rheumatic diseases.

Filed under:Practice Support Tagged with:Dr. Veena Patelfederally qualified health centerhealthcare accessMedical Access Programpatient careuninsured Americans

Electronic Consultations Could Improve Access to Rheumatologic Care

Samantha C. Shapiro, MD  |  January 20, 2022

Patients shouldn’t need to exercise patience when it comes to getting needed rheumatologic care. E-consults are an evolving telehealth modality with the potential to improve access to rheumatologic care in a cost-effective and efficient manner.

Filed under:Practice SupportWorkforce Tagged with:Access to careReferraltelehealthWorkforceWorkforce Study

The 2021 ACR Awards of Distinction & Distinguished Fellows

Patrice Fusillo  |  December 16, 2021

During ACR Convergence 2021 in early November, the ACR honored a group of individuals who have made significant contributions to rheumatology research, education and patient care, announcing the recipients of the ACR’s 2021 Awards of Distinction, as well as the group of Distinguished Fellows. recognized for their contributions. Three pediatric rheumatologists and one pediatric fellow…

Filed under:AwardsProfessional Topics Tagged with:Dr. Alfredo AguirreDr. Alisa A. MuellerDr. Amanda E. NelsonDr. Anne R. BassDr. Brian M. FeldmanDr. Bryce A. BinstadtDr. Ida Dzifa DeyDr. Jacqueline MadisonDr. Jose U. ScherDr. Madelaine “Mattie” FeldmanDr. Mariana J. KaplanDr. Maximilian F. KonigDr. Michael H. WeismanDr. Naomi J. PatelDr. Philip SeoDr. Richard K. VeheDr. Rochelle L. CastilloDr. Roseanne F. ZhaoDr. Seoyoung C. KimDr. Sokratis ApostolidisDr. Stanley B. Cohen

Passive Exposure to Smoking May Increase Rheumatoid Arthritis Risk

Katie Robinson  |  November 14, 2021

EULAR—Passive exposure to smoking during childhood or adulthood increases the risk of developing rheumatoid arthritis (RA), according to a large prospective cohort study of healthy French women presented during EULAR’s 2021 virtual European Congress of Rheumatology. Moreover, the association was mainly observed among women who had themselves never smoked.1 “In this study, we found an…

Filed under:ConditionsResearch RheumRheumatoid Arthritis Tagged with:Smoking

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