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What’s Changing: Market Access Challenges with Anti-VEGF Therapies – Webcast

By: Nathan Steinle, MD; Winston Wong, PharmD; Sean Goodale, CPA, MBA

Webinar Credits: 1.0

The introduction of anti-VEGF agents for the treatment of age-related macular degeneration (AMD), diabetic retinopathy (DR), and retinal vein occlusion (RVO), transformed the management of these conditions. While the clinical benefits of these compounds are well documented their use brings up other issues for ophthalmologists, namely, cost. Thus, payers have become more involved in managing the use of these agents, potentially interfering with clinical decision making. This live event brings together thought leaders in the retina field to discuss the challenges they face in obtaining access to anti-VEGF medications for their patients, and how they overcome those challenges.

Expiration Date: Saturday, October 31, 2020
Release Date: October 2019

Learning Objectives

Upon completion of this activity, the participant should be able to:

  • Identify and Implement algorithms, decision-making tools, and patient communication approaches that can be used to determine the most appropriate treatment for the patient.
  • Identify opportunities to advocate against prior authorizations and step policies and appeal them.
  • Identify the potential impact of the Drug Quality and Security Act and opportunities to advocate for continued access to compounded ophthalmologic drugs.
  • Describe the impact of the Medicare Access and CHIP Reauthorization Act (MACRA) on ophthalmology and its potential impact on the prescribing of anti-VEGF agents.

Accreditation and Designation Statement

ACCREDITATION STATEMENT
Evolve Medical Education LLC is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians.

CREDIT DESIGNATION STATEMENT
Evolve Medical Education LLC designates this live activity for a maximum of 1.0 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Faculty and Disclosures

Nathan Steinle, MD, has had a financial agreement or affiliation during the past year with the following commercial interests in the form of Consultant: Alimera Sciences, Carl Zeiss Meditec, Genentech, Novartis and Regeneron Pharmaceuticals. Speakers Bureau: Alimera Sciences, Genentech, Notal Vision, and Regeneron Pharmaceuticals, Inc. Grant Research Support: Carl Zeiss Meditec, Genentech, and Regeneron Pharmaceuticals. Stock Shareholder: Vertex Surgical

Winston Wong, PharmD, has no financial relationships with commercial interests.

Sean Goodale, CPA, MBA, has had a financial agreement or affiliation during the past year with the following commercial interests in the form of Consultant: AAOE, Genentech, Novartis, and Regeneron Pharmaceuticals. Speakers Bureau: Genentech and Regeneron Pharmaceuticals.

Editorial Support Disclosures, Erin K. Fletcher, MIT, director of compliance and education, Evolve; Susan Gallagher-Pecha, director of client services and project management, Evolve, have no financial relationships with commercial interests. Jaya Kumar, MD, peer reviewer, has no financial relationships with commercial interests.

 

Pretest

Video Resources

1. Introduction

2. Navigating the Insurance Maze

3. Value- Based Reimbursement

4. Navigating the Payor Maze & Q&A

1. Introduction

2. Navigating the Insurance Maze

3. Value- Based Reimbursement

4. Navigating the Payor Maze & Q&A

Next

Test

Instructions

Please complete the assessment and proceed to claiming your credit.

Step 1 of 3

33%
  • AgreeNeutralDisagree
    Identify and Implement algorithms, decision-making tools, and patient communication approaches that can be used to determine the most appropriate treatment for the patient.
    Identify opportunities to advocate against prior authorizations and step policies and appeal them.
    Identify the potential impact of the Drug Quality and Security Act and opportunities to advocate for continued access to compounded ophthalmologic drugs.
    Describe the impact of the Medicare Access and CHIP Reauthorization Act (MACRA) on ophthalmology and its potential impact on the prescribing of anti-VEGF agents.
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