The Alliance of Community Health Plans has asked CMS to allow step therapy policies allowed in the Medicare Part D program to be applied to Medicare Part B, noting the program can prevent overuse of unnecessary services. In a comment letter, ACHP said CMS should extend its policy beyond new prescription starts, allowing MA plan sponsors to offer lower-cost alternatives to members who are already using high-cost medications.
Making Health Care Better
ACHP is the voice of a unique approach in health care today, one that puts the patient at the center with plans and clinical teams collaborating to improve health outcomes and reduce costs. Our advocacy focuses on providing policymakers with tested solutions, rooted in a model that is proven to deliver better value for patients, employers and taxpayers.