Step therapy is a process your health insurance provider may require before it will cover certain drugs. Many insurance providers require step therapy for Mounjaro (a drug prescribed for type 2 ...

CMS said Aug. 7 it will give private Medicare Advantage plans more negotiating power over prices for Part B drugs, which are administered in physician offices and hospitals, in an effort to reduce ...

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 ...

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 ...

Pressure to control costs and reduce unnecessary utilization of expensive drugs has led insurers to increasing rely on “step therapy,” whereby patients are forced to try cheaper therapies before more ...

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.

Health plan policies are increasingly relying on step therapy for cancer drugs, recent analysis from consulting firm Avalere shows. A white paper (PDF) released by the American Cancer Society Cancer ...

GLP-1 drugs commonly used for weight loss management purposes can be a miracle solution for people who have struggled with their weight, but leaders at Solera Health say there are financial and health ...

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.