Improving Access and Care for All Patients With Atopic Dermatitis

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Health care systems are implementing diverse initiatives to improve access to specialist care and advanced therapies for underserved patients with atopic dermatitis. Andrew Alexis, MD, MPH, highlights the importance of integrated specialty pharmacy services within health systems, which provide comprehensive support for prior authorizations, patient assistance programs, and ongoing medication management. The availability of clinical trial data representing diverse populations helps overcome patient mistrust by demonstrating treatment effectiveness in populations that mirror their demographics, creating stronger therapeutic relationships and improved adherence.

Geographic and transportation barriers are being addressed through innovative delivery models, including dedicated clinics in underserved areas and expanded telehealth services. Andrew M. Mastro, MS, PA-C, describes opening clinics specifically for uninsured, self-pay, and Medicaid patients, while also conducting clinical trials that provide access to advanced therapies for patients who might otherwise lack coverage. April W. Armstrong’s, MD, MPH, research demonstrates equivalent clinical outcomes between in-person and telehealth care for atopic dermatitis, supporting expanded virtual care options that eliminate transportation barriers.

Financial barriers are being addressed through creative funding mechanisms, including 340B program utilization and internal patient financial assistance programs. Mark Makhinson, PharmD, describes Mount Sinai’s approach of funding access to expensive biologics for underinsured or uninsured patients through their "we find a way" philosophy. These comprehensive approaches recognize that improving patient access requires addressing multiple barriers simultaneously—from initial diagnosis and specialist referral through ongoing treatment support and financial assistance. Success requires coordinated efforts across multiple stakeholders, including health care providers, health systems, payers, and pharmaceutical companies working together to ensure equitable access to advanced atopic dermatitis treatments.