Change will cut patient access

As a local rheumatologist who treats Medicare patients, I am deeply concerned by a recent proposal from the federal Centers for Medicare &Medicaid Services (CMS) that could result in further payment cuts for Medicare Part B drugs. If implemented, this mandatory payment model test would wreak havoc on patients and cause massive access and safety problems.

Many rheumatologists have already been forced to stop administering biologic therapies to Medicare patients suffering from arthritis, lupus and other rheumatic diseases because of the current Part B payment structure. An additional payment cut would drive even more Medicare patients into less safe and more expensive settings — such as the patient’s home or the hospital — to receive needed therapies, if they can access them at all.

The proposed pay cuts are intended to incentivize physicians to prescribe less expensive drugs, but there are very few Part B biologics available to rheumatology patients to begin with, and their costs are all similar. Biologics are complex and cannot be easily interchanged or switched for less expensive options. Once a patient finds a biologic that works for him or her, it may be the only option.

Su Yin, M.D.

Seattle