Navigating the Payer Maze: Setting Your Practice Up for Success

.75 AMA PRA Category 1 Credit(s)
Launch Date:
March 01, 2019
Expiration Date:
The accreditation for this activity has expired.

Primary Audience:

Relevant Terms:

David Eichenbaum, MD

Clinical Assistant Professor, Department of Ophthalmology
University of South Florida College of Medicine
Retina Vitreous Associates of Florida
Tampa, Florida

Ankoor R. Shah, MD

Retina Consultants of Houston - Vitreoretinal Surgery
Blanton Eye Institute - Methodist Hospital
Assistant Professor of Clinical Ophthalmology – Houston Methodist Institute for Academic Medicine

1. Identify and Implement algorithms, decision-making tools, and patient communication approaches that can be used to determine the most appropriate treatment for the patient.
2. Identify opportunities to advocate against prior authorizations and step policies and appeal them.
3. Discuss the potential impact of the Drug Quality and Security Act and opportunities to advocate for continued access to compounded ophthalmologic drugs.
4. 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 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 enduring activity for a maximum of .75 AMA PRA Category 1 Credits™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Grantor Statement
Supported through an educational grant from Regeneron Pharmaceuticals, Inc.
It is the policy of Evolve that faculty and other individuals who are in the position to control the content of this activity disclose any real or apparent conflict of interests relating to the topics of this educational activity. Evolve has full policies in place that will identify and resolve all conflicts of interest prior to this educational activity.
David Eichenbaum, MD, has had a financial agreement or affiliation during the past year with the following commercial interests in the form of Consultant: Alimera Sciences; Allergan plc; Genentech; Notal Vision; and Regeneron Pharmaceuticals, Inc. Grant/Research Support: Alcon/Novartis; Allergan plc.; Clearside Biomedical; Genentech; and Opthotech. Speaker’s Bureau: Allergan plc; Genentech; and Notal Vision. Stock/Shareholder: BIRC, Clearside Biomedical; Humera; and US Retina.
Ankoor R. Shah, MD, has had a financial agreement or affiliation during the past year with the following commercial interests in the form of Advisory Board: Allergan.
Editorial Support Disclosures, Erin K. Fletcher, MIT, director of compliance and education, Evolve; Susan Gallagher-Pecha, director of client services and project management, Evolve; and Debra Gordon, MS, writer, have no financial relationships with commercial interests. Jaya Kumar, MD, peer reviewer, has no financial relationships with commercial interests.



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