A collection of GI policy-related news curated by DHPA. Topics include: MACRA, MIPs, APMs, Medicare, ambulatory surgery centers and other issues of importance to GI physicians providing high quality and cost-efficient care in the independent medical practice setting.
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DHPA Opposes Most Favored Nation Rule Announced by CMS
The MFN Rule could dramatically restrict patient access to infusion medications administered in physician offices, especially for patients with Crohn’s disease and ulcerative colitis, which are both major categories of inflammatory bowel disease (IBD).
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DHPA Supports USPSTF Recommendations to Begin CRC Screening at 45, Calls for More Research on Disparities in Communities of Color
While supporting the draft recommendations overall, Dr. Glenn Littenberg, DHPA chair of health policy, expressed some concern about USPSTF’s recommendations with respect to screening colonoscopy versus stool-based CRC screening.
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What is Health Equity? (RWJF Report)
Health equity is a cornerstone of the Robert Wood Johnson Foundation’s (RWJF) Culture of Health Action Framework, which aims to achieve a society in which everyone has an equal opportunity to live the healthiest life possible.
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Step Therapy Can Lead to Higher OOP Costs for Crohn’s Disease Patients (Avalere)
Avalere assessed potential implications of step therapy on patients with employer coverage to examine total OOP and payer costs. Step therapy—also known as “fail first”—is a common form of utilization management that health plans use to control costs. Step therapy requires patients to try a preferred drug before gaining access to the drug prescribed by […]
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