Step therapy occurs when your insurer requires you to use medication alternatives before another, possibly more expensive, treatment option. Depending on specific factors, you can work with your ...
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 ...
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 science makes once-unthinkable treatments available, patients are increasingly facing a harsh reality: Insurance companies are forcing them to try older, less expensive therapies for months before ...
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 ...
COLUMBUS (WCMH) — Representatives of the medical community, patient advocates and provider groups gathered with lawmakers Wednesday at the Statehouse to kickoff an effort to reform an insurance ...
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 ...
For years, I’ve watched the barriers my patients face in accessing the treatments I prescribe continue to grow. That is part of the reason I and many other health care professionals and patients ...
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