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If you've ever felt a need for therapy but got overwhelmed at the very prospect of choosing a provider, read on. Here's a step-by-step guide to finding someone who fits your needs — and budget.
Step therapy requires prior authorization for drugs that are prescribed for some medical conditions. The first "step" requires the doctor to start with the most preferred -- and least expensive ...
Any step therapy policy should be supported by high-quality research to ensure the best patient outcomes, but it takes more than research to improve the quality of life for so many Americans.
Step therapy is also called “fail-first protocol.” This is because your insurance provider requires your doctor to confirm that one or more of the drugs on its preferred medications list were ...
Step therapy protocols vary considerably across health plan and disease, highlighting issues for Medicare’s new policy allowing such protocols for specialty drugs in Medicare Advantage plans.
Insurers' use of step therapy for specialty drugs varies widely, according to a new study. | On average, insurers required 1.5 steps in their protocols, with 66.6% of policies requiring a single step.
Rep. David Ortiz, D-Centennial, called step therapy “insidious,” saying he was told to take a wet wipe bath instead of getting bathroom chairs as step therapy for his disability coverage.
Step therapy requirements give insurers a chance to pump the brakes when a patient is pursuing a treatment or medication that might be risky for them, said Laura Minzer, president of the Illinois ...
By permitting MA plans to impose step therapy protocols, CMS introduced competition and negotiation into the market for Part B drugs. 12 In 2017, spending on physician-administered drugs totaled ...
Nationwide, at least 36 states, including Illinois, have laws in place requiring health insurers to make exceptions to step therapy rules in certain situations, according to the National Psoriasis ...
For children who have uncontrolled asthma despite the use of low-dose inhaled corticosteroids (ICS), evidence to guide step-up therapy is lacking.We randomly assigned 182 children (6 to 17 years of ...
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