MAG among groups calling for CMS to reconsider step therapy stance    

The Medical Association of Georgia was one of nearly 100 state and national physicians’ advocacy organizations that signed a letter that was sent to the Centers for Medicare and Medicaid Services (CMS) to address “CMS’s recent notification to Medicare Advantage plans that they will no longer be prohibited from utilizing step therapy protocols for physician administered drugs covered under Medicare Part B beginning in 2019.”

The letter stated that, “We find the growing trend towards the use of restrictive and burdensome utilization management tactics by payors concerning and urge CMS to reconsider its stance on this critical patient care issue.

And it concluded that “we hope that solutions can be found that do not involve the creation of barriers to appropriate and timely treatment for some of our most critical patients…we urge CMS to reinstate its 2012 policy prohibiting Medicare Advantage plans from utilizing step therapy protocols for Part B physician administered medications.”

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