Downloadable Resources from the Arthritis Foundation

The Arthritis Foundation has free downloadable brochures and fact sheets through the AF Store​ that you can save to your office desktop. The brochures and fact sheets can be e-mailed to patients or you can print copies in-office and hand out to patients as needed. The downloadable materials are a convenient way to provide your patients, who may not be comfortable taking printed materials from your office as a result of the Covid-19 pandemic, the information they are looking for. Instructions are available here.

If you are in need of a bulk order of printed brochures or fact sheets, please contact your local Arthritis Foundation staff member at Washington@arthritis.org for assistance.

The Arthritis Foundation also created a Covid-19 Resources flyer that has a list of great patient resources to help them navigate the pandemic and stay connected.

Biosimilars Could Generate $100 Billion in Savings Over Next Five Years, New Report Finds

WASHINGTON, D.C. — A new report from the IQVIA Institute for Human Data Science has determined that biosimilars are on track to reduce drug costs by $100 billion over the next five years if their use rises. The future of this lower-cost drug market, however, is still uncertain.

According to the report, three recently-launched biosimilars may reach 60 percent volume share by the end of their second year on the market, which would generate an estimated $80 billion in savings in the next five years, including $16-36 billion in 2024 alone. Click here to read the full article.

The Biosimilars Forum is a nonprofit organization incorporated in Washington, DC, created to advance biosimilars in the United States with the intent of expanding access and availability of biological medicines, and improving health care. The Biosimilars Forum provides evidence-based information to inform and support public policies that encourage awareness, access, and adoption of biosimilars.

Coronavirus: What Chronic Illness Patients Need to Know

From CreakyJoints:

We’ve been hearing many questions and concerns from our global patient community about the continued spread of coronavirus across the U.S. and around the world.

And while people with disabilities and chronic diseases have even more of a right to feel worried or downright panicked, there is a lack of good information speaking directly to these issues for patients — until now.

CreakyJoints spoke with multiple rheumatologists and infectious disease experts to try to track down answers that are as specific to this community as possible.

Here’s what we have learned so far. We will update you if critical information changes and we will continue to monitor the situation closely. Read the full article.

Get More Tips for Staying Healthy 

The contents of this website are for informational purposes only and do not constitute medical advice. CreakyJoints.org is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of a physician or other qualified health provider with any questions you may have regarding a medical condition.

Regence Rituxan to Ruxience has been Reversed

Regence Policy Reversed: The decision from Regence to mandate the switch from Rituxan patients to Ruxience has been reversed and Regence will approve Rituxan patients currently on treatment to continue for 1 year. If you have already submitted the authorization for the patients, then just re-submit their name, DOB and member # via fax to your pharmacy dept. If you haven’t yet submitted an auth, then please submit auth as you normally would.

The pieces that were challenged by Arthritis Northwest Regence’s policy with were:

  1. The article (download and keep for your files) clearly stating that biosimilars can be substituted only if approved by FDA as “interchangeable.” In addition, substitution can only be allowed if the prescriber has not designated on the prescription that substitution is prohibited.
  2. The concern that my physicians felt regarding “Switching” a stable patient to a non FDA indicated treatment when there are other alternative biosimilars on the market that are indicated for RA.
  3. The Washington State Step Therapy Legislation #1879 which clearly outlines the exemption process for immediately granting the request if patient is stable and doing well on treatment.

This is a major “win” in keeping our physicians at the forefront of healthcare. Allowing physicians who are in the position for making the right decision of treatment for the best clinical outcome and accountability for total cost of care, always delivers the best possible patient centered care.

Cancellation Notice of the 2020 WRA Annual Conference

Dear colleagues and industry representatives,

After much trepidation and thought I’ve decided to cancel this year’s WRA annual conference. Response from our survey suggested that turn out would have been about half normal and our sponsors were nervous given the continued coronavirus activity. I just couldn’t guarantee everyone’s safety. Our speakers and our sponsors have been notified and they have agreed to wait until next year. All of the funding that has been put forth to this meeting will be rolled over to next year, too. As always, I look forward to seeing everyone at the WRA meeting in Leavenworth next year. Please save the date for September 17-19, 2021.

Thank you for your continued support,

Jeff Peterson, MD
WRA President

Interstitial lung disease exacerbates rheumatoid arthritis activity, related conditions

Patients with interstitial lung disease demonstrated a higher proportion of comorbidities and rheumatoid arthritis activity, as well as rheumatoid arthritis-related conditions, according to a presenter at the EULAR 2020 Virtual Congress.

“Interstitial lung disease is a common extra-articular manifestation of RA, and is known to be associated with increased morbidity and mortality,” Gary Craig, MD, of Discus Analytics and Arthritis Northwest, both in Spokane, Washington, told attendees in the session. “Studies have shown substantial variability in the prevalence, clinical characteristics and risk factors of RA-associated ILD, or RA-ILD.” Click here to read the full article.

COVID-19 Prior Authorization and Ongoing Patient Care Updates from UnitedHealth

UnitedHealthcare is working to help people access health care to the fullest extent possible as we come together to address this national emergency. We’re adopting measures that will reduce administrative burden for physicians and facilities, helping members more easily access the care they need under their benefit plan, and adjusting programs and services, as needed, to protect members and help limit the spread of the COVID-19 virus in communities. Visit their page for regular updates: https://www.uhcprovider.com/en/resource-library/news/Novel-Coronavirus-COVID-19/pa-covid19-updates.html

UnitedHealth Group Accelerates Nearly $2 Billion in Payments and Support to Health Care Providers to Help with COVID-19 Financial Challenges

Please see the formal announcement from UHC. UnitedHealth Group (NYSE: UNH), through UnitedHealthcare and Optum, has announced it is taking steps immediately to accelerate payments and other financial support to health care providers in the U.S. to help address the short-term financial pressure caused by the COVID-19 emergency.

The decision to accelerate claims and incentive payments builds on previously adopted measures taken by the company to streamline processes for health care professionals and facilities, as well as to help members more easily access the care they need. This includes:

  • Suspension of prior authorization requirements to a post-acute care setting
  • Suspension of prior authorization requirements when a member transfers to a new provider
  • Extension of timely filing deadlines for claims during the COVID-19 public health emergency period for Medicare Advantage, Medicaid, and Individual and Group Market health plans
  • Implementation of provisional credentialing to make it easier for out-of-network care providers who are licensed independent practitioners to participate in one or more of our networks

Official press release:
https://www.unitedhealthgroup.com/newsroom/2020/2020-04-07-uhg-accelerates-payments-support-providers.html

COVID-19 Response

The Washington State Medical Association (WSMA), Washington state officials, and the state’s health care community have joined the Centers for Disease Control and Prevention in responding to an outbreak of respiratory illness caused by a novel coronavirus (COVID-19). Initially detected in Wuhan City, Hubei Province, China in December 2019, COVID-19 is now spreading in Washington state and other U.S. locations.

WSMA has a dedicated COVID-19 resource page that features patient and professional resources: www.wsma.org/covid19.

The ACCME has compiled a list of educational resources about COVID-19 for physicians, all of which include CME credit. The education consists of online courses, video, or articles, and most of these resources are free: https://accme.org/coronavirus-resources.

New Resources Added to WRA Website

CreakyJoints
https://creakyjoints.org/

CreakyJoints is a digital community for millions of arthritis patients and caregivers worldwide who seek education, support, advocacy, and patient-centered research. All of our programming and services are always provided free of charge.

  • Education: Constantly updated and informed by the latest research, our educational articles and comprehensive patient guidelines help newly diagnosed and experienced patients as well as caregivers understand their diagnosis, symptoms, and traditional and complementary treatment options. We also provide advice regarding how to communicate effectively with health care providers, insurance companies, and the stakeholders who write our health laws and policies.
  • Support: Through our interactive social media channels, CreakyJoints members can directly connect with the arthritis community and ask questions of health care professionals who participate in regularly scheduled webinars and #CreakyChats. Visit us on Twitter (@CreakyJoints), FacebookYouTube, and Instagram (@Creaky_Joints) for a 24/7 hive of positive support.
  • Advocacy: We believe that patients need to participate in all conversations that relate to our access to treatment, safety, or the quality of our care. Through our 50-State Network, we train and help patients living with any diagnosed, chronic illness to amplify their voice and add their personal perspective to health policy discussions happening in Washington, D.C., the state capitals, hearing rooms, regulatory meetings and other public forums. Whether adding your name to a petition, speaking in front of lawmakers, or contributing an opinion article to your local newspaper, we invite you to join our network to influence the future of health care in the United States.
  • Patient-Centered Research: Created by CreakyJoints and supported by a multiyear, multi-million dollar investment by the Patient-Centered Outcomes Research Institute (PCORI) as well as additional public-private partnership support ArthritisPower is the first-ever patient-centered research registry for joint, bone, and inflammatory skin conditions. The free ArthritisPower mobile and desktop application allows patients to track and share their symptoms and treatments while also participating in voluntary research studies in a secure and accessible manner. ArthritisPower Patient Governors serve as gatekeepers for researchers who seek to access registry data or solicit the community to participate in unique, voluntary studies. Since 2016, 45 ArthritisPower studies were published in peer-reviewed journals or presented at major medical meetings as abstracts or posters, in partnership with major universities, research institutions and industry. To learn more and join ArthritisPower, visit www.ArthritisPower.org.

Discus Analytics
http://t3jointman.com/

Discus Analytics, LLC., is a healthcare company specializing in the capture, analysis, and application of actionable clinical data, and believes that specialists who implement a data collection portal capable of tracking patient outcomes and quality metrics in real-time have a decided advantage within the changing landscape of healthcare reform.

For Patients: Making Telehealth Easy
http://t3jointman.com/for-patients-making-telehealth-easy/

For Providers: Telehealth Helpful Tips and Coding Cheat Sheet
http://t3jointman.com/for-providers-telehealth-helpful-tips-and-coding-cheat-sheet/

For Providers: How to use the Doxy.me Conferencing Platform
http://t3jointman.com/for-providers-how-to-use-the-doxy-me-conferencing-platform/