Health Affairs

Step Therapy In MA: Mixed Evidence And An Uncertain Path Forward

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 ...
Forbes

Massachusetts Legislation To Curb Use Of Step Therapy - A Health Insurers’ Drug Cost Containment Tool- Fails To Move Forward

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 ...
Health Affairs

To Limit The Harms Of Step Therapy, Implement Robust Standards And Protect Physician Autonomy

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 ...
The American Journal of Managed Care

How Prior Authorization, Step Therapy Result in Medication Discontinuation and Worse Outcomes

Utilization management tools, such as step therapy and prior authorization, are not only time consuming for patients, but they are a burden on providers and their practices due to the time and effort ...
Everyday Health

What Is Step Therapy for Crohn’s Disease?

Even when doctors prescribe a medication, some insurance companies require you to try lower-cost drugs first, which could delay your ability to get the treatment you need. Samantha Rynearson was 21 ...