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 ...

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.

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 ...

The Massachusetts House passed a bill which aims to curb the use of step therapy by health insurers. Drugs that are designated with a “step therapy” condition of reimbursement are only paid for by ...

Insurers' use of step therapy for specialty drugs varies widely, according to a new study. The analysis, led by researchers at Tufts University and published in Health Affairs, tracked the application ...

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 ...

Every day Melissa Fulton, RN, MSN, FNP, APRN-C, shows up to work, she's ready for another fight. An advanced practice nurse who specializes in multiple sclerosis care, Fulton says she typically spends ...

For people with lupus, their relationship with their healthcare team is one of the most important aspects of managing their life with lupus. Step therapy imposes on that relationship in pursuit of ...

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 ...