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Events, Laws, & Policies

Receive weekly email alerts about events, laws, and policies affecting patients and the sub-specialty of rheumatology, and affecting access to healthcare.

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From the New York State Rheumatology Society

July 20, 2014

United Healthcare reportedly is about to unleash a new policy affecting the use of TNF inhibitors. Cimzia and Enbrel will be preferred drugs but there will not be a grandfather policy for patients already on other TNF inhibitors. Thus patients being treated with other TNF inhibitors will be forced to switch. I have communicated with Senator Kemp Hannon’s office this morning. If you know other elected officials- state or national- please consider making contact. You will likely be faced with patients who will be forced off their current drug. At a minimum, we can anticipate patient fear and confusion, and there will be patients who respond differentially to the switch. There will be significant needless work on our part. A fail first policy with a grandfather approach is one thing, and most of us do not like fail first policies. A policy that forces patients to switch is quite another. As we all know, there is no prospective or other substantial evidentiary clinical data to differentiate TNF inhibitors as regards either safety or efficacy. Thus United’s policy can only be based on economic grounds- they are willing to cause patient fear and harm to increase their profits. Click here for a list of United officials you can contact, and you can provide this list to your patients. We cannot as physicians who look out for the interests of our patients allow this policy to exist.

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Hart Health Strategies - July 29th, 2013

July 30, 2013

No Budget Deal in Sight as Republicans Seek to Defund Obamacare; SGR Fix in House

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Hart Health Strategies - May 7th, 2013

May 07, 2013

Congress Returns As Budget Impasse Continues and Sequestration is Given More Scrutiny

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Hart Health Strategies - March 12th, 2013

March 13, 2013

House Passes CR Including Flexibility for Defense Department/VA to Modify Sequester - Last week the House voted 267-151 to pass H.R. 933, an appropriations continuing resolution (CR), including ...

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Hart Health Strategies - January 14th, 2013

January 15, 2013

House Returns to Light Schedule Amid Mounting Fiscal Crises

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