Access To Care

The Current State

Today, individuals with sickle cell disease are living longer, but the system of care needs to change to ensure a better quality of life.

As more people with SCD are living into adulthood, disease management needs to shift from acute care of complications to a chronic care model that focuses on prevention of crises, and intervention and relief for common complications. A coordinated health care delivery system for adults with SCD is a first step to improve health outcomes.

Our Progress

SCDC Stepping Forward

In 2017, Health Resources and Services Administration awarded Sickle Cell Disease Association of America an $11.6 million grant that will help to ensure those diagnosed with SCD receive appropriate follow-up services, including counseling, education materials, and access to a medical home.

Health care costs an adult with sickle cell disease more than $30,000 per year on average.

75% of adults with sickle cell disease fail to get the recommended treatment for their pain.

The most promising drug for treatment, hydroxyurea, is not regularly prescribed.

Our short-term goals:

  • Enhance knowledge of SCD among hematologists, primary care providers, ED physicians, mid-level providers, and palliative care specialists.
  • Use hub and spoke model or other approaches to improve geographic access to care.
  •  Implement coordinated care models that incorporate community health workers, ensuring more equal quality of care regardless of where an individual with SCD receives care.
  • Fund more implementation research.
  • Identify essential health benefits for people with SCD enrolled in Medicaid.

Our long-term goals:

  • Stabilize funding streams and sustainability of programs domestically.
  • Seek payment reform to support comprehensive management of pain and other long-term complications.
  • Support development and expansion of effective state strategies ("carve-outs") to enhance public insurance coverage and reimbursement.
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SCDC TAKES A STAND

Join the many and take a stand along side the SCD Coalition, and learn how you can fight against sickle cell disease. Download our recent SCDC Snapshot to see our current priorities for access to care, research & clinical trials, and much more.