State Rep. Rebecca Alexander (R-Jonesborough) has filed a proposal to expand “step therapy” exemptions so that more cancer ...

CHICAGO (WAND) - Governor JB Pritzker signed the package of bills comprising the Healthcare Protection Act into law. The HPA is meant to improve healthcare consumer experiences by banning step therapy ...

Florida lawmakers are considering a bill that would empower health care providers to prescribe the best-suited medications for Floridians on Medicaid suffering from “serious mental illnesses” without ...

The Kansas Senate will consider a bill that would require Medicaid patients to try lower-cost drugs before moving to more expensive treatments. The Senate Public Health and Welfare Committee passed ...

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 ...

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 ...

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 ...

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 ...

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 ...

Panelists discuss the challenges and evolving landscape of step therapy protocols in hidradenitis suppurativa treatment, emphasizing the impact on patient adherence, the potential benefits of earlier ...

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 ...