Health Plan

SDPA Health Plan Priorities

A key priority is ensuring health plans, both public and private, fairly reimburse PAs, reduce administrative barriers, and include them in provider networks. These reforms improve patient access, reduce delays, and support a stronger dermatology workforce.

Step Therapy

  • Advocate for limited usage of step therapy requirements and process transparency.

Prior Authorization

  • Advocate for speedier response times for prior authorizations in hope to limit access delays to patients. 

Formulary Exclusions

  • Advocate for formularies to follow up-to-date medical guidelines and cover latest treatment options for skin patients.

Mischaracterization and Classification Issues

  • Advocating for the alignment of drug classifications with current scientific consensus and latest medical thinking.

Visit our Legislative Action Center to see how you can take action on key pieces of legislation included in these priorities.

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