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Final Program


Schedule at a Glance
Legend
Session Format
In Person
In Person
Livestreamed
Livestreamed
On Demand
On Demand
Scientific Session

Professional development and education
General Topic: Business of Rheumatology

12S123: Challenges in Access to Care: Payor Issues, Prior Authorizations and Practice

Sunday, November 12, 2023
12:00 PM - 1:00 PM PT
Location: Room 26A-B
CE: 1

In Person On Demand

    Speaker(s)

  • BH

    Brian Henderson, -None-

    Hart Health Strategies
    Chicago, IL, United States

    Disclosure(s): No financial relationships with ineligible companies to disclose

  • RL

    Robert Levin, MD

    Robert W Levin MD PA
    Clearwater, FL, United States

    Disclosure(s): AbbVie/Abbott: Consultant (Ongoing), Grant/Research Support (Ongoing), Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing); Amgen: Grant/Research Support (Ongoing); Boehringer-Ingelheim: Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing); Bristol-Myers Squibb(BMS): Consultant (Ongoing), Grant/Research Support (Ongoing); Eli Lilly: Grant/Research Support (Ongoing); Equillium: Grant/Research Support (Ongoing); Exagen: Consultant (Ongoing), Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing); GlaxoSmithKlein(GSK): Consultant (Ongoing), Grant/Research Support (Ongoing), Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing); Novartis: Grant/Research Support (Ongoing); Sanofi: Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing); Scipher: Consultant (Ongoing), Grant/Research Support (Ongoing), Speaker/Honoraria (includes speakers bureau, symposia, and expert witness) (Ongoing)

  • Wendy Ramey, BS

    University of Kentucky Specialty Pharmacy
    Lexington, KY, United States

    Disclosure(s): No financial relationships with ineligible companies to disclose

Rheumatology practices face numerous challenges as they navigate payer policies to help secure access to care and treatment for their patients while also ensuring appropriate reimbursement. This session will provide an overview of common payer barriers and outline best practices for addressing those challenges to ensure a thriving rheumatology practice

Learning Objectives:

  • Discuss payer utilization management tactics that threaten patient access and practice solvency
  • Review best practices for navigating payer relationships and addressing challenges
  • Understand ACR resources available to your practice

Presentations:

  • 12:00 PM - 12:15 PM PT
    Understanding Supply Chain Issues in Access to Care

    Speaker: Robert Levin, MD – Robert W Levin MD PA

  • 12:15 PM - 12:30 PM PT
    Navigating Prior Authorization Issues

    Speaker: Wendy Ramey, BS – University of Kentucky Specialty Pharmacy

  • 12:30 PM - 12:45 PM PT
    State Policy Issues Impacting Rheumatologists

    Speaker: Brian Henderson, -None- – Hart Health Strategies

  • 12:45 PM - 1:00 PM PT
    Q&A