Health care is changing, and not only at the national level.
The states are taking action on a range of health care issues that are important to people with psoriasis and psoriatic arthritis. Some states are ahead of the curve; others are catching up. In all states, the National Psoriasis Foundation (NPF) is advocating for the psoriatic disease community. Here’s a look at some of our achievements – and our ideas on how we can move forward.
Access to Comprehensive Health Coverage
Health care only works when patients can enroll in plans that meet their needs and access care without jumping through unnecessary hoops. NPF advocacy works with state governments and health plans to enact policies that ensure patient access and comprehensive health benefits.
Step Therapy and Prior Authorization
Step therapy and prior authorizations are utilization management tools used by health insurers and third-party administrators. They are designed to manage health care costs by monitoring the use of services and treatments and steering patients toward lower cost options.
On the surface, these utilization management tools sound like a good idea. It’s true that they can successfully control costs. But in some instances, these practices may do more harm than good. They can create significant barriers to care and delay access to the best therapy, while potentially worsening a patient’s condition. A 2019 NPF patient survey found that 41% of people with psoriatic disease have experienced step therapy.
NPF works to pass state bill that create safeguards for utilization management tools, including a clear and prompt process for requesting an exception. To date, over 25 states have enacted step therapy protections.