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  • Presentation

Advocacy Update

Description

In this advocacy update, Sabra Sullivan reflects on her long history in dermatology and advocacy, describing how her experiences, including initial threats from Medicare, sparked her dedication to the field. She emphasizes the importance of perseverance in advocacy efforts, recognizing that no individual can tackle all issues alone but that collective action can lead to substantial progress. Sullivan outlines the current challenges facing the dermatology community, specifically regarding Medicare, noting reductions in reimbursement rates and the need for comprehensive reform. Despite these setbacks, she highlights recent successes in advocating for better care practices, including significant fundraising for the specialty and legislative victories related to prior authorization and step therapy across various states. Sullivan shares experiences of pushing back against regulatory challenges and the importance of a physician-led healthcare team. She also underscores the implications of insurance coverage issues, particularly the confusing terminology around what is considered 'not covered' by policies, and the emerging threats like ransomware affecting medical practices. Ultimately, she encourages all professionals to engage in advocacy efforts, pointing out that there is always room for someone to be an advocate for the specialty and patient care.

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Conclusions

  • The American Academy of Dermatology has been effective in advocacy efforts against Medicare cuts, rallying support from numerous lawmakers.
  • Successful grassroots lobbying resulted in significant communication with Congress regarding physician payment issues.
  • The SkinPAC raised over $1 million, marking a successful fundraising year for dermatology advocacy efforts.
  • Despite a 3.37% reduction to the Medicare conversion factor, advocacy has seen wins in maintaining certain performance thresholds and telehealth regulations.
  • The AADA has successfully lobbied for reforms in prior authorization and step therapy, making progress in reducing barriers to patient care.
  • Legislation has been enacted at the state level to improve prior authorization processes and regulate the titles used by non-physician practitioners.
  • Ongoing challenges such as insurance transparency and ransomware attacks are significant concerns that need to be addressed moving forward.
  • Continued collective advocacy and perseverance are necessary to address persistent issues in healthcare delivery for dermatology patients.