There&apos;s a Better way to do Step Therapy

Burns, J.; Burns, J

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There's a Better way to do Step Therapy

Burns, J.

Managed Care 27(11): 12-14

2018

ISSN/ISBN: 1062-3388

PMID: 30620298

Document Number: 696190

Starting in January, CMS will let Medicare Advantage plans use step therapy, a cost control strategy sometimes called "fail first." Patient advocates are wary, arguing that the fail first rules should be available online and decisions on physician appeals should be made within 72 hours-and in a day when it is an emergency.