The frequency with which 7 of the largest Medicare Advantage plans impose step therapy protocols in their Part B drug coverage decisions varies substantially. Objectives: First, to examine 7 large ...

This article is part of a Health Affairs Forefront featured series, “Assessing The Evidence For MA Reform.” The series was developed and supported by the research firm, Stage Analytics, through a ...

Publisher’s Note: This Health Affairs Blog post is part of a supported set of posts that will be published over the next few months. Health Affairs received support for the series from the American ...

As the cost of therapies increases, US health plans are utilizing tools like step therapy, to ensure patients try cheaper alternatives first, and value assessment frameworks, to assist with the ...

Please provide your email address to receive an email when new articles are posted on . Step therapy, a controversial payer policy, can cause treatment delays and contribute to physician burnout.

Young adults with IBD are more likely to face step therapy mandates, making clinicians concerned that insurers are ignoring evidence-based guidelines and imperiling outcomes.

Please provide your email address to receive an email when new articles are posted on . Despite a mounting number of state-level laws enacted to protect vulnerable patients against step therapy ...

Step therapy is when Medicare Part D plans ask beneficiaries to try a more affordable drug before approving higher-cost prescriptions. In Medicare, Part D covers general prescription drugs, whereas ...