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It affects millions of people worldwide and is one of the most common autoimmune diseases [238]

Spellman SJ, Warner HA

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However, states are simultaneously experiencing several significant upward expenditure pressures that outweigh the downward pressure from enrollment trends, causing increases in total Medicaid spending (and as a result, spending per enrollee): Over half of responding states cited managed care or provider rate increases as an upward pressure on total spending in FY 2025, FY 2026, or both

The market continues to expand, the science continues to advance and new formats are making these therapies accessible to more patients