Rheumatology practices have faced unique challenges this year, from navigating underwater biosimilars and new twists and turns with reimbursements to taking a closer look at complex treatments and enhancing data-driven patient care. With so much to discuss, the business of rheumatology will be a lively track at ACR Convergence 2024.
The ACR’s annual meeting is taking place Nov. 14–19 at the Walter E. Washington Convention Center in Washington, D.C. The conference will be hosted in-person and on-demand with select livestreamed sessions.
One major business focus will be to address payer challenges to which the ACR is currently responding, and which rheumatology practices are having to endure. These include insurance requirements for therapies with biosimilars, according to Rebecca Shepherd, MD, MBA, a session moderator and chair of the ACR’s Insurance Subcommittee of the Committee on Rheumatologic Care (CORC). “The more rheumatologists know, the more we can influence decision making and educate other stakeholders including patients, employers and government officials who create policy.”
Rheumatology practices are also “keen to learn how colleagues are finding success caring for rheumatoid arthritis (RA) patients with complicated treatment regimens, including combination therapies and biologic response modifiers,” notes Mark Niemer, MD, who is moderating a session that will highlight best practices for coding and tools to improve patient workflows.
What to Expect from the Business Track
The business of rheumatology track will cover a wide range of topics targeted toward improving business operations for any rheumatology practice. Sessions will cover coding, payer changes, clinical workflows, conducting research, advocacy, staffing, and technologies in practice such as using artificial intelligence (AI) for documentation.
Two sessions on Saturday, Nov. 16, will help attendees understand payer challenges and learn strategies to handle these and other workflow issues:
- Facing Payer Challenges: Biosimilars, Closed Formularies, and Telehealth (Nov. 16, 9–10 a.m. EST)
- RA Toolkit: A Turnkey Workflow for RA Patients in Your Clinic (Nov. 16, 1–2 p.m. EST)
Two sessions on Sunday, Nov. 17, will help you make your rheumatology practice more efficient, from using AI to working with advanced practice providers. Also, be sure to check the networking lounge program for opportunities to talk with peers and ACR staff about topics including work-life balance, handling practice challenges and more.
Facing Payer Challenges
“Rheumatology professionals are critical advocates for their patients, and access to medications is equally critical in treating rheumatologic diseases,” says Dr. Shepherd. In a session she is co-moderating with Louisa Ziglar, MD, attendees will learn more about the evolving access to and reimbursement for biosimilars, as well as the reasons behind formulary restrictions that often limit access to medications essential for disease management.