2017-11-15 17:15:42 UTC

Has Step Therapy Impacted Your Practice?

Nov. 15, 2017

Please share your experience so we can bring it to our meeting with Congress on Nov. 29.

We’d like to hear about your experience with step therapy, also known as “fail first,” which requires patients to try and fail medications by insurers before being covered by the initial therapy you prescribed. We are gathering stories and experiences in the AGA Community

AGA is advocating for an appeal to step therapy protocols. On Nov. 29, we plan to meet with members of Congress and their staffs to share your experiences with step therapy and work with them to support the Restoring the Patient’s Voice Act. The bill would require employer-sponsored health plans to do the following:

  • Establish a clear and convenient process for physicians to appeal a step therapy protocol for their patients.
  • Grant patient exceptions to step therapy under five critical circumstances.
  • Expedite care by requiring a timely decision for appeals – three days or 72 hours or within 24 hours, if life threatening.

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