CSRO on Capitol Hill: PBM Reform Hearing

On July 10, CSRO and the National Community Pharmacists Association (NCPA) hosted a congressional briefing on pharmacy benefit manager (PBM) reform in Washington, DC. The briefing highlighted how PBMs impact employers, patients, and underserved communities and the urgent need for legislative reforms yet this year.


Representatives Buddy Carter (R-GA) and Nanette Barragán (D-CA) provided welcome remarks, underscoring the bipartisan support for PBM reform. CSRO's Vice President of Advocacy & Government Affairs Dr. Madelaine Feldman moderated a panel discussion, where additional experts discussed new, concerning data that illustrates PBM pricing and access issues, including how PBMs manipulate pricing, creating confusion and driving up costs for patients. The panel included:

  • Steve Moore, PharmD, NCPA
  • Antonio Ciaccia, 3 Axis Advisors
  • Alex Oshmyansky, Cost Plus Drug Company
  • Amy L. Hinojosa, MANA, A National Latina Organization


In her closing remarks, Dr. Feldman reiterated the importance of continued advocacy to ensure fair drug pricing and transparency within the healthcare system.

Advocacy in Action: CSRO's Virtual Advocacy Day

This week on July 10, rheumatologists and their practice partners from across the country gathered for CSRO's Virtual Advocacy Day to connect with Members of Congress and discuss federal proposals that would benefit patients, physicians, and practices.


The issues being discussed focused on changes to utilization management practices, meaningful and timely reform of the pharmacy benefit manager (PBM) industry, and codification of patients’ ability to use the full value of copay assistance – find more details in CSRO's Virtual Advocacy Day issue briefs.


The group heard from 10 bipartisan, bicameral Members of Congress, including champions of pieces of legislation CSRO has been advocating. For example, Senator Roger Marshall, a Republican from Kansas, spoke to us about his proposal to reform and streamline prior authorization processes in Medicare Advantage, the Improving Seniors Timely Access to Care Act. Senator Marshall, an OB/GYN by training, reflected on his time in practice as the impetus for the legislation. 


Representative Buddy Carter spoke about his HELP Copays Act, a bill introduced in a bipartisan fashion in both the House and Senate, that would put into statute the current allowance of patients to utilize their full copay assistance. Representative Kim Schrier, a Democrat from Washington state, spoke about her experience as both a pediatrician and patient living with Type 1 diabetes.


With it being a busy day on Capitol Hill, CSRO appreciated the opportunity to share our experiences directly and highlight the issues that are impacting the rheumatology community.

Visit CSRO's website to learn more and register!

Spotlight: Working Healthcare Podcast

Last week, CSRO Vice President of Advocacy & Government Affairs Dr. Madelaine Feldman joined Meredith Hirsh, The Hirsh Center CEO, on her weekly podcast titled Working Healthcare to discuss all things advocacy.


In this episode, Dr. Feldman discusses CSRO's recent advocacy efforts and priority issues, how pharmacy benefit managers and vertical integration impact the doctor-patient relationship, and more. Listen now using the links below!

Apple Podcasts
Spotify

Strategies for Survival: Business of Rheumatology

CSRO’s virtual Business of Rheumatology seminar series to help support rheumatology practices in building and strengthening their business is back!


Log in on Wednesday, July 31, to explore if larger groups, including super groups, are the way forward to maintain private practice in rheumatology through a panel discussion of representatives from Arizona Arthritis and Rheumatology Associates, Articularis Healthcare, Bendcare, and United Rheumatology/Specialty Networks.

Business of Rheumatology

Independent Practice: Strategies for Survival


Wednesday, July 31

5pm PT / 6pm MT / 7pm CT / 8pm ET

Sign Up

Legislation Around the Country

What's Happening in the States

CSRO tracks legislative activity relevant to the rheumatology community and their patients. Check out the list below to see the status of CSRO priority bills from the past two weeks, and click here to view a full status report of CSRO priority bills.


Be sure to check out our interactive legislative map tool for additional details.

View Full Status Report

Pennsylvania

Biomarker testing

  • HB 1754: Signed into law


Mark Your Calendar: 2024 Events

Business of Rheumatology: July 31, 2024

CSRO's virtual seminar series to help support rheumatology practices in building and strengthening their business.


CSRO Advocacy Conference: September 20-22, 2024

Gather with others in the rheumatology community in Nashville for CSRO's annual Advocacy Conference

State Society Conferences:

CSRO's state rheumatology society members host their own annual meetings throughout the year. Find a listing of these state-specific conferences on our website.

CSRO Resources for You

Action Center

Use CSRO's convenient online platform to easily find out who your elected officials are and engage with them directly.


Advocacy Council

Amplify your voice by assembling with other like-minded individuals to enhance CSRO’s advocacy initiatives.


Career Center

Locate the perfect fit whether you're looking for new career opportunities or trying to find the right candidate.


Explanatory Statement: “Underwater” Biosimilars

To aid in addressing the issue of "underwater" biosimilars with payers, CSRO has created a document to illustrate the extent of the problem.


Legislative Map Tool

Find your state on our interactive map tool to learn about current or proposed policy and ways you can take action to make an impact.


Payer Issues Reporting Form

Request assistance with any payer relation issues that may be impacting your patients or office.


Policy Correspondence

Easily access all of CSRO’s policy letters submitted to payers, state, and federal governments as an informational resource.


Rheum for Action

Learn about the latest advocacy issues in CSRO's advocacy column authored by Dr. Madelaine Feldman and produced in partnership with Rheumatology News.


Step Therapy Cover Sheets

Review CSRO's state-specific step therapy materials that help guide practices in gaining an exemption from step therapy protocols.

Questions?

Please visit the CSRO website for other news and updates, and do not hesitate to contact us with any questions at info@csro.info.

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