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Rheum for Action

Through a partnership with Rheumatology News, CSRO publishes a bi-monthly advocacy column authored by Vice President of Advocacy & Government Affairs, Madelaine Feldman, MD.

Titled Rheum for Action, the column inspires individuals to make ‘rheum’ in their lives for action and keeps the rheumatology community updated on the latest advocacy issues affecting their work. Review all of the latest editions of the columns below. 


Rheum for Action: 2024

 

Rheum for Action: ‘Reform School’ for Pharmacy Benefit Managers: How Might Legislation Help Patients?

posted: September 17, 2024 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman discusses reforms that would improve patient's access to available and affordable medications.

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Rheum for Action: Fed Worker Health Plans Ban Maximizers and Copay Accumulators: Why Not for the Rest of the US?

posted: July 29, 2024 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman discusses healthcare affordability and the need for policies to prioritize the health and well-being of patients.

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Rheum for Action: Specialists Are ‘Underwater’ With Some Insurance-Preferred Biosimilars

posted: May 16, 2024 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman discusses the financial challenges posed by certain biosimilars for which acquisition costs exceed reimbursement levels.

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Rheum for Action: ERISA Health Plan Lawsuits: Why Should We Care?

posted: March 15, 2024 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman discusses the recent ERISA health plan lawsuits and why the rheumatology community should be taking note.

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Rheum for Action: Biosimilar Business Deals Keep Up ‘Musical Chairs’ Game of Formulary Construction

posted: January 17, 2024 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman discusses the "musical chairs" game that is formulary construction, even after the FTC frowned upon manufacturers owning PBMs and allowing them to construct their own formularies.

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Rheum for Action: 2023

 

Rheum for Action: Prescription drug affordability boards: Another quick fix with unintended consequences?

posted: November 17, 2023 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman explains that some provisions included in prescription drug affordability boards may allow them to set upper payment limits for medications, and those have the potential to harm access to provider-administered drugs.

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Rheum for Action: Insurer’s foray into AI-based ‘shared savings’ program creates ethical problems

posted: September 20, 2023 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman explains the ethical concerns of AI and health care.

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Rheum for Action: In-office infusions at risk with new Medicare Part B reimbursement recommendation

posted: July 6, 2023 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman explains the potential negative ramifications recent MedPAC recommendations may have for rheumatologists.

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Rheum for Action: Getting a white-bagging exemption: A win for the patient, employer, and rheumatologist

posted: May 2, 2023 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman explains the issues with specialty pharmacy mandates, commonly referred to as "white bagging".

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Rheum for Action: A little education goes a long way for advocacy

posted: March 16, 2023 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman reflects on CSRO's Fellows Conference and the important information shared with rheumatology fellows about pharmacy benefit managers.

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Rheum for Action: Unintended consequences of perfectly good programs and policies

posted: January 18, 2023 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman describes the unintended consequences of what were thought to be good ideas at the time: Giving safe harbor from the Anti-Kickback Statute and the 340B Drug Pricing Program.

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Rheum for Action: 2022

 

Rheum for Action: Use 2022’s advocacy successes and frustrations as a catalyst for the new year

posted: November 14, 2022 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman reflects on the successes and frustrations with health policy legislation and regulation and insurance companies in 2022, and shares how this can be used as a catalyst for the year ahead.

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Rheum for Action: Employers’ self-funded health plans can leave rheumatology patients vulnerable

posted: September 20, 2022 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman shares that CSRO is developing a employer tool kit that educates employers with self-funded health plans about the pitfalls and misinformation that may be given to them by the insurance companies, PBMs, and other third parties that administer their health plan.

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Rheum for Action: Who’s in charge here? Rheumatologists battle local Medicare policies threatening access, practice sustainability

posted: July 21, 2022 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman explains the advocacy work that the Coalition of State Rheumatology Organizations and other groups are undertaking to address local Medicare policies.

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Rheum for Action: Will ‘gold card’ legislation and others rein in prior authorizations?

posted: May 23, 2022 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman discusses how “gold card” legislation already passed or in the works in several states has potential to reduce prior authorization burdens on clinicians, but there are still some concerns.

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Rheum for Action: New law will awaken employers to health care’s ‘transparency gap’

posted: March 16, 2022 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman highlights how the Consolidated Appropriation Act of 2020-21 will not only help to eliminate much of the “transparency gap” in the system, but it may encourage employers to work directly with independent physicians’ offices to provide more cost effective and transparent services for their patients.

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Rheum for Action: 2021

 

Rheum for Action: Could stopping ‘thousand cuts’ by insurers and PBMs help rheumatology’s workforce shortage?

posted: November 12, 2021 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman highlights rheumatologists’ frustrations over having the doctor-patient shared decision-making taken out of their hands and given to the insurance companies and their PBMs.

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Rheum for Action: Taking 2021’s rheumatology advocacy momentum into 2022

posted: November 12, 2021 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman highlights that in the year ahead, we should prepare to advocate to legislators for policies that prohibit payers from mandating the use of white bagging, brown bagging, and home infusion.

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Rheum for Action: Beware patients’ health plans that skirt state laws on specialty drug access

posted: September 20, 2021 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Mattie Feldman calls on rheumatologists to take third-party administrators to task for convincing businesses to let them “carve out” specialty drug benefits from the larger administrator of the plan by promising huge savings in the employer’s specialty drug spending.

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Rheum for Action: Legislative wins set groundwork for future success

posted: July 16, 2021 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. In this piece, Dr. Madelaine (Mattie) Feldman recounts recent advocacy wins across states in fighting copay accumulators, step therapy, and pharmacy benefit managers.

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Rheum for Action: How I got started in advocacy

posted: May 12, 2021 to CSRO News

Rheumatology News and the CSRO have partnered to keep rheumatologists regularly informed on the advocacy issues of the day. This inaugural piece tells how CSRO President Dr. Madelaine (Mattie) A. Feldman views advocacy and how she found her way to action.

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