Current Challenges:
- AGA identifies barriers to IBD care, including insurer-mandated restrictions and prohibitive drug costs, affecting millions of Americans with IBD.
Barriers to Care:
- Restricted access to treatment
- Prohibitive drug costs
- Forced non-medical switching
- Coverage gaps in disease monitoring
- Inadequate coverage for multidisciplinary care
- Limited access to IBD specialists
- Intersectional identities leading to inequality
AGA’s 12-Point Plan:
- Incorporating patient and clinician insights into research.
- Tailoring therapy based on individual factors.
- Moving beyond insurer-mandated step therapy.
- Ensuring coverage for disease monitoring.
- Guaranteeing expedited expert reviews.
- Requiring insurers to publish denial data.
- Advocating for holistic multidisciplinary care coverage.
- Supporting patient education programs.
- Improving access to specialized IBD care.
- Piloting shared incentive partnerships.
- Collaborating with pharmaceutical partners.
- Advocating for equitable access to therapy under Medicare and Medicaid.
Publication and Collaboration:
- White paper published in Clinical Gastroenterology and Hepatology.
- AGA welcomes collaboration with interested groups to advance IBD care.
Contact Information:
- Kathleen Teixeira, AGA Vice President, Public Policy and Advocacy, at kteixeira@gastro.org.