Panel Discussion: From Policy to Practice – Bridging the Gap Between Payer Access & Clinical Reality
Time: 1:30 pm
day: Conference Day One
Details:
- Explore how mismatches between labelled indication and payer policy (e.g., differing “line of therapy” requirements across insurers and states) create treatment denial risks and force patients or physicians into appeal processes, especially for time-sensitive psychiatric interventions
- The gap between contracted payer coverage and real-world access: address claim denials, administrative friction, and the need for improved payer-provider alignment
- Address the difficulty clinicians face in staying current with plan-specific formularies and access criteria, especially across multiple insurers, plan tiers, and evolving coverage decisions, and discuss where education, digital tools, or standardization could help
