White Paper: American Gastroenterological Association Position Statement: The Future of IBD Care in the United States-Removing Barriers and Embracing Opportunities

Clin Gastroenterol Hepatol. 2024 May;22(5):944-955. doi: 10.1016/j.cgh.2024.01.050. Epub 2024 Feb 28.

Abstract

Despite incredible growth in systems of care and rapidly expanding therapeutic options for people with inflammatory bowel disease, there are significant barriers that prevent patients from benefiting from these advances. These barriers include restrictions in the form of prior authorization, step therapy, and prescription drug coverage. Furthermore, inadequate use of multidisciplinary care and inflammatory bowel disease specialists limits patient access to high-quality care, particularly for medically vulnerable populations. However, there are opportunities to improve access to high-quality, patient-centered care. This position statement outlines the policy and advocacy goals that the American Gastroenterological Association will prioritize for collaborative efforts with patients, providers, and payors.

Keywords: Crohn’s Disease; Inflammatory Bowel Disease; Insurance; Prior Authorization; Step Therapy; Ulcerative Colitis.

MeSH terms

  • Gastroenterology / standards
  • Health Services Accessibility*
  • Humans
  • Inflammatory Bowel Diseases* / therapy
  • Societies, Medical
  • United States