#CSROResourcesForYou Many states have a #StepTherapy law in place & CSRO’s Step Therapy Cover Sheets outline how to get an exemption to step therapy protocols. Find them easily by clicking your state on our Map Tool: csro.info/map #DidYouKnow

By 2023, 54% of #MedicareAdvantage enrollees faced #StepTherapy for 10 common RA drugs, marking a shift towards more restrictive utilization management practices.

Every rheumatologist knows this means delayed access to effective RA treatments😠

#RheumX #HealthPolicy #HealthEcon

While 2020 enacted law eliminated #STEPTHERAPY , in practice, there’s still a ton of issues & red tape causing patients not to receive prescription drugs/treatment they desperately need to lead productive & relatively pain-free lives.

The Washington Post ⬇️

Need a new drug? You may

⁦American Gastroenterological Association (AGA)⁩ patient influencer ⁦dearcolitis⁩ here in DC for ⁦The DDNC⁩ spring policy forum. Hill day tmrrw to advocate for #steptherapy reform, #NIH funding & other important patient protections. Wearing blue for CRC awareness 💙

Thank you so much Governor Kathy Hochul for signing S2677/A463 to help ensure patients get the information they need when faced with a denial due to #steptherapy . Thank you @NeilBreslin46and John T. McDonald III - Member of NYS Assembly for your leadership! #HappyHolidays

Thank you Neil D. Breslin for passing S.1267 which would impose reasonable guardrails on #steptherapy protocols in NY to ensure patients can access their medically necessary treatments. We urge John T. McDonald III - Member of NYS Assembly and the NY Assembly to swiftly pass the companion bill A.901.

HB22-1183 passed unanimously out of committee this morning! Thank you Rep. Emily Sirota Rep. Iman Jodeh for fighting for #steptherapy protections in Medicaid, to all House Health & Insurance committee members for your support, & all who testified! #coleg #cohealth

Are US commercial health plans’ #steptherapy protocols consistent with treatment guidelines?

Our analysis shows that #steptherapy protocols are more stringent than treatment guidelines in 56% of cases.

Thanks Rep. Emily Sirota Rep. Iman Jodeh for introducing HB23-1183, which will align Medicaid’s #steptherapy criteria w/ commercial plans to reduce administrative burden for health care providers, save money on unnecessary care, & improve health outcomes for consumers #coleg #cohealth

⁦American Gastroenterological Association (AGA)⁩ dynamic duo of Drs. Lisa Mathew & Elisa Boden advocating for #GI & our patients. Making the case for how #steptherapy #priorauth harms patients & burdens practices #AGAadvocacy #WomenInGI

How consistent are US commercial health plans in their use of #steptherapy protocols?

Analysis of the SPEC Database shows wide variation in the frequency that plans impose step therapy for specialty drugs, ranging from 50% to 77% of their coverage policies.

Thank you ⁦Menendez for NJ⁩ for meeting w Rheum

NJ is a state w/o any #Steptherapy legislation.

Drug $, #PBM , Fail first policies and prior auths fail our pts by delaying and prohibiting necessary Rx

#Act4Arthritis ⁦ACRheumDC⁩
⁦Bibi Ayesha MD⁩ ⁦Asena Bahce-Altuntas⁩

The Alliance for Headache Disorders Advocacy is having a webinar on step therapy on October 5th at 6pm ET. You can register at
us02web.zoom.us/webinar/regist…

#CMAware
#Migraine
#StepTherapy

Thank you, Kimberly, with Sherrod Brown for meeting with us to discuss #StepTherapy and #PBMaccountabilty as we #Act4Arthritis . ACRheumDC

Thank you Robert T. Orr with J.D. Vance Senator Vance Press Office for speaking with us about #StepTherapy & #PBMtransparency . #Act4Arthritis ACRheumDC

Commercial health plans’ #steptherapy requirements often vary

The SPEC Database tracks such requirements

For instance, before patients can access upadacitinib for atopic dermatitis plans require failure of different numbers of prior therapies, ranging from 1 to 5

#Rinvoq

Some photos from AGA Advocacy Day on the Hill last week! Met my own local House Representative while advocating for Step Therapy and Prior Authorization reform Bills with Dr. Altayar & with my other amazing patient advocacy friends. #AGAAdvocacyDay #IBD #StepTherapy #PriorAuth

How much does step therapy save? It might be less thank you think! Check out this discussion of our cost analysis paper of protocol AC.

Regeneron

#retina #steptherapy

d.pvroundup.com/11485RC01/1148…

Getting ready to meet with J.D. Vance Senator Vance Press Office to discuss #PBMTransparency & #StepTherapy . #Act4Arthritis ACRheumDC

Join AHDA on 10/5 6PM ET for Confronting Barriers to Headache Disorder Care: #StepTherapy & #CoPayAccumulators where we will discuss the challenges patients face in accessing prescribed therapies for #headachedisorders . Register at
us02web.zoom.us/webinar/regist… #safestepact