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Search results for: health insurance

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 Support Tagged with:ACR advocacyACR Insurance Subcommittee (ISC)Member benefits

ACR Offers Resources & Personalized Help for Practice Management Questions

From the College  |  August 19, 2024

ACR staff can help members navigate questions on all areas of practice management.

Filed under:Practice Support Tagged with:Member benefits

Business of Rheumatology Manual: A Preview of What’s to Come

From the College  |  August 17, 2024

Revisions of the handbook to reflect an evolving healthcare landscape are underway, led by the Committee on Rheumatologic Care, Community Practice Council and Insurance Subcommittee. The first new chapters will be available in fall 2024.

Filed under:Practice Support Tagged with:Committee on Rheumatologic Care (CORC)

Let’s Define Undifferentiated Connective Tissue Disease

Lucy Masto, BS, Medha Barbhaiya, MD, MPH, Caroline H. Siegel, MD, MS, Lisa R. Sammaritano, MD, & Michael D. Lockshin, MD  |  August 6, 2024

Undifferentiated connective tissue disease (UCTD) is a diagnosis given to patients who do not fulfill current classification criteria for named connective tissue diseases (CTD)—systemic lupus erythematosus (SLE), rheumatoid arthritis (RA), systemic sclerosis (SSc), or Sjögren’s disease—but who nonetheless have clinical signs and symptoms and serological evidence of autoimmune CTDs. In 1980 LeRoy et al. were…

Filed under:Clinical Criteria/GuidelinesConditionsGuidanceOpinionOther Rheumatic ConditionsSjögren’s DiseaseSystemic Lupus Erythematosus Tagged with:clinical criteriaconnective tissue diseaseDiagnostic CriteriaSjogren'sSLE Resource Centerundifferentiated connective tissue disease (UCTD)

ACR Leads Coalition Effort Opposing UHC Policy Change on G2211

From the College  |  August 5, 2024

In July, UHC announced it would discontinue reimbursement for G2211 for commercial plans as of Sept. 1. The ACR led a multispecialty sign-on letter urging the payer to reconsider its decision to help ensure clinicians can maintain the additional work needed to manage complex and chronic diseases.

Filed under:InsuranceLegislation & Advocacy Tagged with:G2211UnitedHealthCare (UHC)

ACR Successfully Leads Coalition in AMA House of Delegates to Support Higher Pediatric Specialist Compensation

From the College  |  June 25, 2024

An ACR-led resolution that calls for Medicaid payment parity for pediatric specialists will become AMA policy.

Filed under:From the CollegeLegislation & Advocacy Tagged with:AMA House of Delegates (HOD)Medicare ReimbursementPediatric Rheumatology

Meet the ACR’s Advocacy Team

Carina Stanton  |  June 24, 2024

It’s an election year, and ACR staff are excited about the possibility of moving key initiatives, such as Medicare reimbursement, across the finish line. But they need members’ help to do so.

Filed under:American College of RheumatologyProfiles Tagged with:ACR advocacy

ACR Delegation to Lead Several Resolutions at June AMA House of Delegates Meeting

From the College  |  May 21, 2024

The ACR will lead five other specialty societies on a resolution supporting pediatric specialty care and will co-lead resolutions addressing Medicare Advantage Part B drug coverage, white bagging mandates, state prescription drug affordability boards and impacts of alternative funding programs on access to care.

Filed under:American College of RheumatologyLegislation & AdvocacyPractice Support Tagged with:ACR advocacyAMA House of Delegates (HOD)

The Prospect of Rheumatoid Arthritis Prevention

Samantha C. Shapiro, MD  |  May 6, 2024

Rheumatoid arthritis (RA) is treatable, and for that, we should be grateful. But wouldn’t it be better if we could prevent it from even happening? Recent data from a study in China demonstrated some interesting results. Could an older type of diabetes medication be the answer we’ve been looking for? Background Preclinical studies have suggested…

Filed under:ConditionsDrug UpdatesResearch RheumRheumatoid Arthritis Tagged with:preventionRA Resource Centerthiazolidinediones

Rheumatology’s Systems-Based Thinking Plays Well on Capitol Hill

Bharat Kumar, MD, MME, FACP, FAAAAI, RhMSUS  |  May 5, 2024

One of the great joys of rheumatology is that it prioritizes systems-based thinking. Whether integrating data from radiographic imaging or piecing together a puzzling case of autoimmunity, rheumatologists are tasked with understanding how systems fundamentally work. In fact, this emphasis on systems-based thinking is often what draws and keeps the best and smartest physicians within…

Filed under:Legislation & AdvocacyOpinionRheuminations Tagged with:systems-based thinkingU.S. Congress

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